A Case of Lemierre Syndrome Due to Acute Tonsillitis
Abstract
A male patient in his 40s presented to us with a fever and sore throat that had persisted for 10 days. He had received antipyretic analgesics and antibacterial medications from his local physician, however, his symptoms had failed to improve. Consequently, he was rushed to our hospital with suspected acute tonsillitis. Erythema was observed in the bilateral tonsils, and a CT performed to assess the abscess cavity unexpectedly showed multiple peripheral nodules in the pulmonary arteries. Due to the plain CT imaging, we initially missed the intravascular lesion and suspected septic pulmonary embolism secondary to infective endocarditis in the right heart system, and promptly initiated treatment.
Fields of Study & Subjects
Otolaryngology and Infectious Diseases
Streptococcal Infections and Treatments
Diphtheria
Corynebacterium
and Tetanus
Publication details
- Journal / source
- Practica Oto-Rhino-Laryngologica
- Volume
- 119
- Issue
- 3
- Pages
- 167–171
- Publication date
- 1 January 2026
- Language
- EN