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Case report
Lemierre syndrome leading to an ischaemic stroke and malignant cerebral oedema
  1. Cesar Carballo Cuello1,
  2. Orlando De Jesus1,
  3. Eduardo J Labat2 and
  4. Emil A Pastrana1
  1. 1Neurosurgery, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico, Puerto Rico
  2. 2Department of Radiological Sciences and Diagnostic Radiology, Neuroradiology, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico, Puerto Rico
  1. Correspondence to Dr Orlando De Jesus; drodejesus{at}aol.com

Abstract

Lemierre syndrome is an often misdiagnosed disease caused by an anaerobic bacterial infection that produces thrombophlebitis of the internal jugular vein and septic metastasis to distal organs, especially the lungs. Carotid stenosis or thrombosis is a rare complication. We present a patient with Lemierre syndrome who developed malignant cerebral oedema secondary to an ischaemic stroke which required a decompressive craniectomy.

  • otolaryngology / ENT
  • neurosurgery
  • neuroimaging
  • neuro ITU
  • coma and raised intracranial pressure

https://doi.org/10.1136/bcr-2021-243690

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    Footnotes

    • Contributors All the authors contributed equally to the manuscript.Concept and design: CCC, ODJ, EJL and EAP. Drafting the manuscript: CCC, ODJ, EJL and EAP. Revising the manuscript: CCC, ODJ, EJL and EAP. Approval of the final manuscript: CCC, ODJ, EJL and EAP.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.