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
- neuro ITU
- coma and raised intracranial pressure
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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.