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First described in 1936, Lemierre’s syndrome is an oropharyngeal infection characterised by septic thrombophlebitis of head and neck veins, complicated by dissemination of septic emboli to pulmonary and systemic sites.1 Ophthalmic involvement in this syndrome is extremely uncommon, having been reported previously in a patient with retro-orbital involvement and proptosis,2 and more recently as a case of endogenous endophthalmitis.3 Here, we describe a case of bilateral intraocular involvement in this interesting and rare disease.
A previously healthy 14 year old African American female presented to the emergency department with cough, dyspnoea and tachypnoea, and a pulse oximeter reading of 70% on room air. A chest x ray demonstrated diffuse bilateral pulmonary infiltrates …