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Lemierre syndrome complicated by bronchopleural fistula

 Division of Respiratory Medicine, Department of Internal Medicine, Toho University Ohashi Medical Center, Meguro City, Tokyo, Japan

Date of Submission12-Sep-2022
Date of Decision14-Nov-2022
Date of Acceptance08-Dec-2022
Date of Web Publication27-Jun-2023

Correspondence Address:
H Matsuse,
Division of Respiratory Medicine, Department of Internal Medicine, Toho University Ohashi Medical Center, Meguro City, Tokyo
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jpgm.jpgm_722_22

PMID: 37376756

 :: Abstract 

We present a 19-year-old woman, a case of Lemierre syndrome, who presented with fever, sore throat, and left shoulder pain. Imaging revealed a thrombus in the right internal jugular vein, multiple nodular shadows below both pleura with some cavitations, right lung necrotizing pneumonia, pyothorax, abscess in the infraspinatus muscle, and multiloculated fluid collections in the left hip joint. After inserting a chest tube and administering urokinase for the pyothorax, a bronchopleural fistula was suspected. The fistula was identified based on clinical symptoms and computed tomography scan findings. If a bronchopleural fistula is present, thoracic lavage should not be performed as it may cause complications such as contralateral pneumonia due to reflux.

Keywords: Bronchial fistula, empyema, Lemierre syndrome

How to cite this URL:
Kodaka N, Nakano C, Oshio T, Matsuse H. Lemierre syndrome complicated by bronchopleural fistula. J Postgrad Med [Epub ahead of print] [cited 2023 Sep 26]. Available from:



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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
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