Lemierre's syndrome after modified radical mastoidectomy: An unusual variant caused by Citrobacter freneli

Abstract 

Lemierre's syndrome is characterised by an oropharyngeal infection leading to secondary septic thrombophlebitis of the internal jugular vein. Most of the cases are caused by Fusobacterium necrophorum. Here, we report an unusual variant of Lemierre's syndrome developed after modified radical mastoidectomy. There was right sigmoid sinus and right internal jugular vein thrombosis along with multiple abscess foci seen in bilateral lung with right pyopneumothorax. The organism isolated from chest foci was Citrobacter freneli. We also briefly review the literature of Lemierre's syndrome.

Keywords: Lemierre's syndrome, Modified radical mastoidectomy, Otitis media