Table 1.

Key Features in Lemierre Syndrome

Key FeaturesSigns/SymptomsLaboratory and Imaging Findings
Jugular thrombophlebitisNeck pain, swelling, dysphagiaThrombus on CT or ultrasound
BacteremiaFever, chills, malaiseElevated WBC, CRP, blood cultures positive for F. necrophorum
Pulmonary emboliCough, dyspnea, pleuritic chest pain, hemoptysisNodular or cavitary lesions on CXR or CT scan
Other septic microemboliArthritis/arthralgias, jaundice, focal neurological symptomsTransaminitis, hypoalbuminemia, prolonged protime, thrombocytopenia, abnormal EEG
  • CT, computed tomography; WBC, white blood cells; CRP, C-reactive protein; CXR, chest x-ray; EEG, electroencephalography.