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General Thoracic and Cardiovascular Surgery

, Volume 65, Issue 11, pp 661–663 | Cite as

Descending necrotizing mediastinitis with Lemierre’s syndrome

  • Taisuke Kaiho
  • Takahiro Nakajima
  • Shuji Yonekura
  • Sawako Hamasaki
  • Takekazu Iwata
  • Ichiro Yoshino
Case Report

Abstract

Descending necrotizing mediastinitis is a severe infection of the mediastinum. Lemierre’s syndrome manifests as thrombophlebitis in the cervical veins, which is caused by a neck infection. A 50-year-old woman had a fever with a 13-day history of neck pain. CT showed a deep neck abscess with vertebral vein thrombosis and mediastinal abscesses. Multiple small pulmonary nodules were found, suggesting septic pulmonary embolism. Emergency surgery for bilateral cervical and mediastinal drainage was performed, and antibiotics and anticoagulation agent was administered. Edoxaban was required to clear vein thrombosis and pulmonary embolization.

Keywords

Descending necrotizing mediastinitis Lemierre’s syndrome Septic pulmonary embolization 

Notes

Compliance with ethical standards

Conflict of interest

The authors have no conflict of interest.

References

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Copyright information

© The Japanese Association for Thoracic Surgery 2017

Authors and Affiliations

  • Taisuke Kaiho
    • 1
  • Takahiro Nakajima
    • 1
  • Shuji Yonekura
    • 2
  • Sawako Hamasaki
    • 2
  • Takekazu Iwata
    • 1
  • Ichiro Yoshino
    • 1
  1. 1.Department of General Thoracic SurgeryChiba University Graduate School of MedicineChibaJapan
  2. 2.Department of Otorhinolaryngology, Head and Neck SurgeryChiba University Graduate School of MedicineChibaJapan

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