{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T07:01:21Z","timestamp":1771657281156,"version":"3.50.1"},"reference-count":33,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,7,6]]},"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Patients with Lemierre\u2019s syndrome may have complications such as lung lesions, large joint arthritis and central nervous system involvement. However, complications involving a pterygoid abscess have scarcely been reported. Here, we report a case of bilateral Lemierre\u2019s syndrome accompanied with an intracranial epidural abscess and bilateral pterygoid abscesses. A woman in her 70s presented to the emergency room with a decreased level of consciousness. Infection was suspected, and <jats:italic>Slackia exigua<\/jats:italic> and species of <jats:italic>Fusobacterium<\/jats:italic> were identified in blood cultures, which suggested that the origin of infection was odontogenic, particularly as the patient had poor oral hygiene. Head and neck CT with contrast enhancement revealed bilateral internal jugular vein thrombophlebitis, septic pulmonary embolism, frontal epidural abscess and bilateral pterygoid abscesses. After antibiotic treatment and drainage, her condition improved. Pterygoid abscesses should be recognised as a rare complication of Lemierre\u2019s syndrome, especially when the infection origin is odontogenic.<\/jats:p>","DOI":"10.1136\/bcr-2023-255398","type":"journal-article","created":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T21:10:21Z","timestamp":1689628221000},"page":"e255398","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Bilateral pterygoid abscesses in a patient with Lemierre\u2019s syndrome"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7195-2055","authenticated-orcid":false,"given":"Hidehiro","family":"Someko","sequence":"first","affiliation":[{"name":"General Internal Medicine, Asahi General Hospital, Asahi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiaki","family":"Shiojiri","sequence":"additional","affiliation":[{"name":"General Internal Medicine, Asahi General Hospital, Asahi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,7,17]]},"reference":[{"key":"2025082701004345000_16.7.e255398.1","doi-asserted-by":"publisher","DOI":"10.2147\/IDR.S95050"},{"key":"2025082701004345000_16.7.e255398.2","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1016\/j.thromres.2020.10.002","article-title":"Lemierre syndrome: current evidence and rationale of the bacteria-associated thrombosis, thrombophlebitis and lemierre syndrome (BATTLE) registry","volume":"196","author":"Valerio","year":"2020","journal-title":"Thromb Res"},{"key":"2025082701004345000_16.7.e255398.3","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1080\/17843286.2020.1731661","article-title":"Lemierre\u2019s syndrome in adulthood, a case report and systematic review","volume":"76","author":"Moretti","year":"2021","journal-title":"Acta Clin Belg"},{"key":"2025082701004345000_16.7.e255398.4","article-title":"Lemierre syndrome from an odontogenic source: a review for dentists","volume":"76","author":"Albilia","year":"2010","journal-title":"J Can Dent Assoc"},{"key":"2025082701004345000_16.7.e255398.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2004.07.023"},{"key":"2025082701004345000_16.7.e255398.6","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-008-0496-4"},{"key":"2025082701004345000_16.7.e255398.7","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(12)70089-0"},{"key":"2025082701004345000_16.7.e255398.8","first-page":"53","article-title":"Lemierre syndrome complicated by cavernous sinus thrombosis, the development of subdural empyemas, and internal carotid artery narrowing without cerebral infarction. 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