Key Features in Lemierre Syndrome
Key Features | Signs/Symptoms | Laboratory and Imaging Findings |
---|---|---|
Jugular thrombophlebitis | Neck pain, swelling, dysphagia | Thrombus on CT or ultrasound |
Bacteremia | Fever, chills, malaise | Elevated WBC, CRP, blood cultures positive for F. necrophorum |
Pulmonary emboli | Cough, dyspnea, pleuritic chest pain, hemoptysis | Nodular or cavitary lesions on CXR or CT scan |
Other septic microemboli | Arthritis/arthralgias, jaundice, focal neurological symptoms | Transaminitis, hypoalbuminemia, prolonged protime, thrombocytopenia, abnormal EEG |
CT, computed tomography; WBC, white blood cells; CRP, C-reactive protein; CXR, chest x-ray; EEG, electroencephalography.