ArticleCase reports in otolaryngology2026
Lemierre's Syndrome With External Jugular Vein Thrombosis Following Submandibular Sialadenitis: A Life-Threatening Complication.
Article in Case reports in otolaryngology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Lemierre's syndrome is a rare but potentially life-threatening condition traditionally characterized by bacteremia, septic thrombophlebitis of the internal jugular vein, and metastatic septic emboli following pharyngotonsillitis. We report an atypical presentation originating from submandibular sialadenitis and complicated by external jugular vein thrombophlebitis. Case Presentation: A 26-year-old man presented with high-grade fever, sore throat, and right submandibular swelling persisting for 7 days. Contrast-enhanced CT revealed right submandibular sialadenitis, thrombosis of the right external jugular vein without abscess formation, and bilateral cavitary pulmonary lesions consistent with septic emboli. Blood cultures identified Conclusion: Clinicians must maintain a high index of suspicion for Lemierre's syndrome even when thrombosis involves noninternal jugular neck veins or when the primary infectious focus is nonpharyngeal. Prompt multidisciplinary management is key to favorable outcomes.
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