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J Neuroradiol. 2002 Jun;29(2):132-5.

Lemierre syndrome: usefulness of CT in detection of extensive occult thrombophlebitis.

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Service de Neuroradiologie, Centre Hospitalo-Universitaire de Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre Cedex, France.


We report a case of Lemierre syndrome with extensive suppurative thrombophlebitis involving concomitantly the internal jugular, facial and anterior jugular veins. This case illustrates two unusual clinical and imaging features: the lack of characteristic neck symptoms at admission and a negative initial neck US exam. The value of postcontrast CT of the neck and chest for diagnosis of this potentially life-threatening syndrome is illustrated.

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