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Clinical Note
May 1999

Lemierre Syndrome and Acute Mastoiditis

Author Affiliations

From the Departments of Otorhinolaryngology–Head and Neck Surgery (Drs Stokroos, Manni, and Soudijn) and Neurology (Dr de Kruijk), University Hospital Maastricht, Maastricht, the Netherlands.

Arch Otolaryngol Head Neck Surg. 1999;125(5):589-591. doi:10.1001/archotol.125.5.589

Lemierre syndrome seldom follows an episode of pharyngotonsillitis. Characteristically, it is comprised of septic thrombosis of the internal jugular vein and bacteremia, leading to lung emboli and metastatic abscess formation. We describe Lemierre syndrome that complicates an acute mastoiditis, with considerations regarding its pathogenesis and management. Despite its sporadic occurrence, awareness of Lemierre syndrome is important, since early recognition reduces both the morbidity and mortality associated with it.