Jugular Vein Septic Phlebitis (Lemierre's Syndrome)

- Suspect in teenagers/young adults with pharyngitis/fever and neck pain/swelling.

- May occur as a rare complication of otitis media, tonsillitis, or dental infections.

Usual Pathogens

Polymicrobial (1/3):

Oral anaerobes
Streptococcus spp

Empiric Therapy	Dose	Duration
Surgical drainage as appropriate
+
Penicillin	3-4MU IV q4h	6-12 weeks
+
Metronidazole	500mg IV q8h