Lemierre syndrome with extensive cervical venous thrombosis and multiple pulmonary embolisms.

Lemierre Syndrome Secondary to Community-acquired Methicillin-resistant Staphylococcus Aureus Infection Associated with Cavernous Sinus Thromboses

“…As in our case, LS can be associated with significant thromboses of the cerebral venous system, which can lead to venous infarction and cerebral edema [3, 11, 12, 21]. Extension of cavernous sinus thromboses to the bilateral ophthalmic veins with ensuing compromise of the optic nerves is exceedingly rare, but can have devastating effects on the surviving individual [22].…”

Lemierre's Syndrome: Porphyromonas asaccharolytica as a Putative Pathogen

“…The infection is caused mostly by Fusobacterium necrophorum and less commonly by other anaerobic organisms. However, there have been only a few case reports of the syndrome in Japan and only one case associated with Porphyromonas (4,5). We describe a case with the classic clinical presentation and findings characteristic of Lemierre's syndrome.…”

A case of Lemierre syndrome

“…Alternatively, direct extension is another route of access to the IJV. More specifically, oropharyngeal infection and abscess formation may travel directly to the parapharyngeal space, hence, direct extension from the submandibular, peritonsillar, retropharyngeal, parotid and masticator spaces may lead to IJV thrombosis 23–24…”

“…The most common site of metastatic infection is the lungs. This may be associated with bilateral pulmonary infiltrates, pleural effusion, empyema and lung abscess or multiple cavitating lung lesions 1620242829. Other complications described include pneumatoceles, pneumothorax and adult respiratory distress syndrome.…”