An unusual cause of sore throat and neck swelling

From the question on page 625 Clinical introduction A 61-year-old man presented with swelling of the neck. He had experienced coughing, fever and sore throat for the previous few days and had been started on antibiotic treatment by his general practitioner. He presented to the emergency department because the symptoms failed to subside and he developed swelling of his neck. On examination, he was afebrile, and a hard, 9x4 cm in size, mobile mass with no redness was observed on the right side of his neck (figure 1). Question What is your diagnosis?Pneumonia Tuberculosis Q fever Lemierre's syndrome Mononucleosis For the answer see page 646 Answer: D Lemierre's syndrome (LS). LS is also known as anaerobic postanginal septicaemia. The primary site of infection is the palatine tonsils and peritonsillar tissue. Other, rarer, locations of infection are the...
Source: Emergency Medicine Journal - Category: Emergency Medicine Authors: Tags: Drugs: infectious diseases, Pneumonia (infectious disease), TB and other respiratory infections, Pain (neurology), EMJ Image Challenge, Venous thromboembolism, Radiology, Pneumonia (respiratory medicine), Clinical diagnostic tests, Radiology (diagnostics) Source Type: research