# Uncommon Culprit, Familiar Foe: A Case of Septic Thrombophlebitis of the Internal Jugular Vein Triggered by Klebsiella Bacteremia

**Authors:** Ekrem Yetiskul, Alaukika Agarwal, Salman Khan, Faris Qaqish, Taqi A Rizvi, Hamzah Qandil, Neville Mobarakai

PMC · DOI: 10.7759/cureus.56716 · Cureus · 2024-03-22

## TL;DR

A 57-year-old man developed a rare infection in his neck vein caused by bacteria from a medical catheter, leading to fever and neck pain.

## Contribution

This case highlights catheter-related septic thrombophlebitis as a potential cause of Lemierre syndrome.

## Key findings

- The patient presented with fever, neck pain, and chills due to internal jugular vein infection.
- Bacteremia was traced to catheter-related bacterial introduction.
- The case illustrates an atypical presentation of Lemierre syndrome.

## Abstract

Septic thrombophlebitis of the internal jugular vein is characterized as Lemierre syndrome. Patients typically present with sore throat and fever and may present with a tender neck mass due to thrombophlebitis of the internal jugular vein. We present the case of a 57-year-old male with neck pain, fever, chills, and headaches who was diagnosed with internal jugular vein septic thrombophlebitis associated with catheter-related introduction of bacteria.

## Linked entities

- **Diseases:** Lemierre syndrome (MONDO:0015306), bacteremia (MONDO:0005229)

## Full-text entities

- **Diseases:** fever (MESH:D005334), neck mass (MESH:D006258), headaches (MESH:D006261), Septic Thrombophlebitis of the Internal Jugular Vein (MESH:D013924), chills (MESH:D023341), Lemierre syndrome (MESH:D057831), sore throat (MESH:D010612), neck pain (MESH:D019547), Klebsiella Bacteremia (MESH:D007710)
- **Species:** Homo sapiens (human, species) [taxon 9606], Bacteria Latreille et al. 1825 (Bacteria stick insect, genus) [taxon 629395]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC11032687/full.md

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11032687/full.md

## References

10 references — full list in the complete paper: https://tomesphere.com/paper/PMC11032687/full.md

---
Source: https://tomesphere.com/paper/PMC11032687