Introduction: Lemierre’s syndrome is septic thrombophlebitis of the internal jugular vein, most commonly associated with head and neck infections. While central catheters are associated with venous thromboembolism and catheter-associated bacterial infections, cases of Lemierre’s syndrome caused by central catheters are extraordinarily rare.
Case Report: We detail a case of Lemierre’s syndrome resulting from a peripherally inserted central catheter in a pregnant female patient. Diagnosis of this rare and potentially life-threatening disease process was expedited using point-of-care ultrasound.
Conclusion: Diagnosis of rare but potentially life- or limb-threatening pathologies is paramount to the successful practice of emergency medicine. Identifying these rare disease processes requires a high index of suspicion and a work-up strategy that includes consideration of medical history in combination with lab and imaging findings to determine appropriate interventions.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Case report; septic thrombophlebitis; Lemierre’s syndrome; point-of-care ultrasound"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1vm9v60z","frozenauthors":[{"first_name":"Paul","middle_name":"","last_name":"Craven","name_suffix":"","institution":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia","department":""},{"first_name":"Bradley","middle_name":"","last_name":"End","name_suffix":"","institution":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia","department":""},{"first_name":"Peter","middle_name":"","last_name":"Griffin","name_suffix":"","institution":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia","department":""}],"date_submitted":"2023-03-27T10:52:11.474000+05:30","date_accepted":"2023-06-06T02:09:09.147000+05:30","date_published":"2023-08-14T21:30:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1245/galley/1138/download/"}]}