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{
    "pk": 898,
    "title": "A Rare Case Report of Lemierre Syndrome from the Anterior Jugular Vein",
    "subtitle": null,
    "abstract": "Introduction:\n Lemierre syndrome is a rare, potentially fatal, septic thrombophlebitis of the internal jugular vein. Treatment includes intravenous antibiotics for Fusobacterium necrophorum, the most common pathogen, as well as consideration for anticoagulation therapy.\nCase Report:\n A 27-year-old female presented with left-sided neck swelling and erythema. Computed tomography noted left anterior jugular vein thrombophlebitis and multiple cavitating foci, consistent with septic emboli. We report a rare case of Lemierre syndrome in which the thrombus was found in the anterior jugular vein, as opposed to the much larger internal jugular vein more traditionally associated with creating septic emboli.\nConclusion:\n Based on an individual’s clinical symptoms, history, and radiologic findings, it is important for physicians to consider Lemierre syndrome in the differential diagnosis, as the condition may rapidly progress to septic shock and death if not treated promptly. The use of anticoagulation therapy remains controversial, and there is a lack of established standard care because the syndrome is so rare.",
    "language": "en",
    "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": "sepsis"
        },
        {
            "word": "septic emboli"
        },
        {
            "word": "thrombophlebitis"
        },
        {
            "word": "case report"
        },
        {
            "word": "Lemierre"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/78w2g3kj",
    "frozenauthors": [
        {
            "first_name": "Nima",
            "middle_name": "",
            "last_name": "Rejali",
            "name_suffix": "",
            "institution": "Hackensack University Medical Center, Department of Emergency Medicine, Hackensack, New Jersey",
            "department": "None"
        },
        {
            "first_name": "Marissa",
            "middle_name": "",
            "last_name": "Heyer",
            "name_suffix": "",
            "institution": "Hackensack University Medical Center, Department of Emergency Medicine, Hackensack, New Jersey",
            "department": "None"
        },
        {
            "first_name": "Doug",
            "middle_name": "",
            "last_name": "Finefrock",
            "name_suffix": "",
            "institution": "Hackensack University Medical Center, Department of Emergency Medicine, Hackensack, New Jersey",
            "department": "None"
        }
    ],
    "date_submitted": "2020-07-31T10:23:52+08:00",
    "date_accepted": "2020-07-31T10:23:52+08:00",
    "date_published": "2020-08-04T06:58:00+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/898/galley/646/download/"
        }
    ]
}