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Case of the Week 472


What is the most likely diagnosis?

  • 14 year-old female with left facial pain and edema



Gray-scale and color Doppler images of left internal jugular vein

  1. Hansen's Disease
  2. Atherosclerotic plaque
  3. Venous Dissection
  4. Lemierre Syndrome
  5. Lymphoma

Additional Images - Axial, sagittal and coronal images from a contrast-enhanced CT scan of the neck

 

Additional Images

 

Axial, sagittal and coronal images from a contrast-enhanced
CT scan of the neck


Answer:

 

4. Lemierre Syndrome

 

More (Click Discussion Tab)

 

 

Lemierre Syndrome

General Considerations

  • Seen in young adults who may be otherwise healthy
  • Refers to rare thrombophlebitis of the internal jugular vein with distant metastatic sepsis seen in the setting of initial oropharyngeal infection (pharyngitis / tonsillitis with or without peri-tonsillar abscess
  • More common in pre-antibiotic era
    • 90% mortality before antibiotics
  • Most common pathogen is Fusobacterium necrophorum

MORE . . .

 


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This Week

14 year-old female with left facial pain and edema
 
Presented as a series of cards, this podcast asks some of the most common causes of neuroimaging findings and diseases making it ideal for a quick review. Can be used as either an audio only or audio/video podcast.; Complements Video Flashcard Podcasts 15, 21,25, 38, 42, 46 and 47.
 
 
Some of the fundamentals of interpreting chest images
 
The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology
 
Recognizing normal and  key abnormal intestinal gas patterns, free air and abdominal calcifications
 
Recognizing the parameters that define a good chest x-ray; avoiding common pitfalls
 
How to recognize the most common arthritides


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.