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Tuesday, June 21, 2022

Lemierre’s Syndrome And Retropharyngeal Abscess

emDOCs Podcast - Episode 56 - June 21, 2022 - By Brit Long and Rachel Bridwell
Lemierre’s Syndrome Pearls
  • The classic triad includes pharyngitis, anterior neck tenderness/swelling, and non-cavitary pulmonary infiltrates, though only 52% of patients have neck tenderness or swelling on exam
  • Diagnosis includes CT with IV contrast of the neck
  • Management includes resuscitation/stabilization and antibiotics
Retropharyngeal Abscess Pearls
  • New data demonstrate decreased rates of drainage when steroids used
  • Consider in toxic child preferring to lie flat with normal oropharyngeal exam and painful tracheal rock
  • Lateral neck radiographs can be used initially, many patients require neck CT for operative management