# Lemierre's syndrome: Pediatric clinical case presentation

**Authors:** Jennifer Richardson Maturana, Sara Gomez Milanés, Luz Angela Moreno Gómez, Liliana Henao Gomez

PMC · DOI: 10.1016/j.radcr.2025.03.054 · 2025-04-12

## TL;DR

This paper presents a pediatric case of Lemierre's syndrome and emphasizes the role of imaging in diagnosing and monitoring the condition.

## Contribution

The paper contributes a detailed pediatric clinical case highlighting the use of CT and MRI in diagnosing Lemierre's syndrome.

## Key findings

- Computed tomography and MRI are effective in identifying retropharyngeal abscesses and jugular thrombosis in Lemierre's syndrome.
- A 2-month-old child presented with LS complicated by mediastinitis and cervical empyema.
- Early diagnostic imaging is crucial for managing and following up on Lemierre's syndrome cases.

## Abstract

Lemierre Syndrome (LS) is a rare infectious condition characterized by septic thrombosis of the internal jugular vein and septic embolization, mainly caused by Fusobacterium necrophorum. Diagnostic Imaging plays a key role in the early diagnosis and follow-up of the syndrome. This article reviews the available literature on radiology applied in LS and analyzes a pediatric clinical case that highlights the importance of computed tomography (CT) and magnetic resonance imaging (MRI) for identifying retropharyngeal abscesses and jugular thrombosis. The case involves a 2-month-old child diagnosed with LS complicated by mediastinitis, cervical empyema, and septic thrombosis of the internal jugular vein as complication.

## Linked entities

- **Diseases:** Lemierre Syndrome (MONDO:0015306), mediastinitis (MONDO:0004492)

## Full-text entities

- **Diseases:** mediastinitis (MESH:D008480), LS (MESH:D057831), septic (MESH:D001170), infectious (MESH:D003141), empyema (MESH:D004653), thrombosis (MESH:D013927), jugular (MESH:D005925), thrombosis of the internal jugular vein (MESH:D012170), abscesses (MESH:D000038)
- **Species:** Fusobacterium necrophorum (species) [taxon 859]

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12018175/full.md

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Source: https://tomesphere.com/paper/PMC12018175