A case of lemierre’s syndrome complicated by clival osteomyelitis and bilateral cranial nerve xii palsy

Daniel J. Smyth, Jeffrey Mowat, Matthew Rigby

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Lemierre’s syndrome is characterized by septic thrombophlebitis of the internal jugular (IJ) vein and secondary metastatic manifestations. Secondary manifestations include septic pulmonary emboli to the lungs and central nervous system (CNS) complications, including sigmoid sinus thrombosis, meningitis, and abscesses. Intracranial complications of infection are more common following otogenic infection, especially in children. Osteomyelitis of the skull base and associated cranial nerve palsy is an uncommon presentation. We present the case of an otherwise healthy 18-year-old female with Lemierre’s syndrome complicated by clival osteomyelitis and bilateral cranial nerve XII palsy. The case illustrates the importance of neurological complications of Lemierre’s syndrome, in particular following otogenic infection in younger patients.

Original languageEnglish
Pages (from-to)141-145
Number of pages5
JournalJAMMI
Volume3
Issue number3
DOIs
Publication statusPublished - 2018

Bibliographical note

Publisher Copyright:
© 2018, University of Toronto Press Inc.. All rights reserved.

ASJC Scopus Subject Areas

  • Infectious Diseases
  • Microbiology (medical)

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