Pediatric Lemierre Syndrome

  • Etiology: hematogenous spread to pulmonary artery end arteries from internal jugular vein septic thrombophlebitis caused by Fusobacterium
  • Imaging: thrombus in internal jugular vein and pulmonary nodules with fluffy margins + cavitation

Radiology Cases of Lemierre Syndrome

US of Lemierre syndrome
Axial CT without contrast of the chest (above) shows multiple cavitary nodules within the lungs bilaterally. Sagittal spectral doppler US of the left internal jugular vein (below) shows thickening of the wall of the vein and no flow within.