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Papillomatization' and ‘malignant transformation’ of an abscess cavity in a 25-year old man with recurrent respiratory papillomatosis who may have had Lemierre syndrome

Department of Respiratory Medicine, The Queen Elizabeth Hospital, Woodville, South Australia; Department of Respiratory Medicine, Queen Elizabeth Hospital, Woodville 5011, South Australia antonyveale(nwahs.sa.gov.au

C Jurisevic

Department of Thoracic Surgery, Royal Adelaide Hospital, Adelaide, South Australia;

S Pieterse

Clinpath, South Australia

A Psaltis

Departrnent of Ear Nose and Throat Surgery, Flinders Medical Centre, Bedford Park, South Australia

We report here an unusual case of a 25-year old male with juvenile onset recurrent respiratory papillomatosis who developed an infestation of papillomata ‘papillomatization’ of an old abscess cavity that, when removed, was coincidently found to contain a 2 cm well differentiated squamous cell carcinoma. The abscess cavity had been caused by a previous Fusobaterium necrophorum infection that probably developed as a result of septic emboli from his internal jugular veins. This once common but now rare occurrence was first reported by Dr Lemierre in 1936 (Lemierre syndrome).

Key Words: Lemierre syndrome • malignant transformation • pulmonary abscess • recurrent respiratory • papillomatosis

Chronic Respiratory Disease, Vol. 1, No. 4, 229-231 (2004)
DOI: 10.1191/1479972304cd042cr


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