Lemierre syndrome is characterized by anaerobic bacterial infection in the head and neck and clinical or radiological evidence of internal jugular vein thrombophlebitis. The most common pathogens are Fusobacterium species, particularly Fusobacterium necrophorum. Septic emboli resulting from infected thrombophlebitis of the internal jugular vein leads to metastatic infections involving lung, liver, kidney, bone and central nervous system. The accurate diagnosis and treatment is important because it may be associated with a high mortality rate if untreated. We present a case of 28-year-old man with an atypical history for the diagnosis of Lemierre syndrome, which showed no definite evidence of internal jugular thrombophlebitis.

Although benign nerve sheath tumors have been described, primary tracheal schwannomas are extremely rare. We report a case of primary tracheal schwannoma, a rare benign nerve sheath tumor in a 58-year-old man with atypical symptoms of chronic cough, sputum and dyspnea for 2 months. Chest computerized tomography showed a 1.7 cm polypoid lesion in posterior wall of mid trachea. The results of bronchoscopic biopsy and immuno-histo-chemical studies were consistent with schwannoma. A surgical treatment of tumor resection and tracheal reconstruction by end-to-end anastomosis was performed.

Citations

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• Tracheal schwannoma presenting as pneumonia: A rare case report in an adolescent
  Wanyan Xiong, Zhixuan Deng
  Respiratory Medicine Case Reports.2026; 60: 102398.     CrossRef
• Recurrent Tracheal Schwannomas: A Case Report and Literature Review
  Rakhesh Mallesh, M. M. Zameer, Vinay Chandrashekar, Sanjay Rao
  Journal of Indian Association of Pediatric Surgeons.2025; 30(1): 113.     CrossRef
• First reported case of tracheal schwannoma presenting with syncope: diagnostic challenges and surgical management
  Munna William, Rukshar Thapa, Anurag Jha, Momena Rashid, Amjad Ali Raza, Asim Agha, Janu Chhetri, Nirmal Paudel, Rejina Chhetri
  Annals of Medicine & Surgery.2025; 87(7): 4623.     CrossRef
• Outcomes of Different Surgical Approaches in Tracheal Schwannoma: A Narrative Review
  Hassan Fahmi Alkhars, Mohammad Almayouf, Majed Albarrak, Faisal Alzahrani, Naif Fnais, Mohammed Alessa, Khalid Alqahtani, Saleh Aldhahri
  Ear, Nose & Throat Journal.2025;[Epub]     CrossRef
• Primary tracheal schwannoma: Bronchoscopic management of a rare tracheal tumour
  Krizelle Acibal, Belgundi Preeti Vidyasagar, Harikishan Gonuguntla
  Respirology Case Reports.2024;[Epub]     CrossRef