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Case Reports in Emergency Medicine
Volume 2014 (2014), Article ID 208960, 3 pages
http://dx.doi.org/10.1155/2014/208960
Case Report

A Case of Lemierre Syndrome Secondary to Otitis Media and Mastoiditis

1Department of Radiology, Diskapi Yildirim Beyazit Training and Research Hospital, Etlik, 06010 Ankara, Turkey
2Department of Radiology, Faculty of Medicine, Ahi Evran University, Kirşehir, Turkey
3Department of Otolaryngology, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey

Received 4 May 2014; Accepted 16 October 2014; Published 6 November 2014

Academic Editor: Aristomenis K. Exadaktylos

Copyright © 2014 Aynur Turan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Lemierre’s syndrome is a rare clinical condition that generally develops secondary to oropharyngeal infection caused by Fusobacterium necrophorum, which is an anaerobic bacteria. A 62-year-old patient with diabetes mellitus presented with internal jugular vein and sigmoid sinus-transverse sinus thrombophlebitis, accompanying otitis media and mastoiditis that developed after an upper airway infection. Interestingly, there were air bubbles in both the internal jugular vein and transverse sinus. Vancomycin and meropenem were started and a right radical mastoidectomy was performed. The patient’s clinical picture completely resolved in 14 days. High mortality and morbidity may be prevented with a prompt diagnosis of Lemierre’s syndrome.