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Postgraduate Education Corner: Ultrasound Corner |

A Teenager With Fever and Sore ThroatTeenager With Fever and Sore Throat

Jose Cardenas-Garcia, MD; Mangala Narasimhan, DO, FCCP; Seth J. Koenig, MD, FCCP
Author and Funding Information

From the Department of Pulmonary, Critical Care, and Sleep Medicine, Hofstra North Shore-LIJ School of Medicine, Oakland Gardens, NY.

Correspondence to: Jose Cardenas-Garcia, MD, Hofstra North Shore-LIJ School of Medicine, Department of Pulmonary, Critical Care, and Sleep Medicine, 410 Lakeville Rd, Lake Success, NY 11042; e-mail: jdecardenasg@gmail.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;145(4):e10-e13. doi:10.1378/chest.13-2260
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Extract

A male teenager presented to the ED complaining of fevers and a sore throat for 1 week. He had previously visited his primary care physician and received a 3-day course of azithromycin without improvement. The initial ED visit showed a normal chest radiograph and unremarkable physical examination; blood was drawn, and he was sent home with a prescription for acetaminophen. The next day his blood cultures grew gram-negative rods, and he was called to return to the ED for follow-up care. He now complained of a worsening sore throat and odynophagia. He had a mild nonproductive cough with no dysphonia, trismus, or neck pain. Review of other systems was normal. Of note, he had no recent dental procedures.

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Discussion Video

Ultrasound used to diagnose Lemierre Syndrome

Discussion Videos 1-8

Videos 1 through 8 show the ultrasound guided examination

Running Time: 3:00

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