case_images: PMC10839822_01
case_images: PMC10839822_02
case_images: CT showing left peritonsillar abscess (red circle) and left internal jugular vein thrombosis (blue arrow). CT: computed tomography
case_images: cureus-0016-00000051734-i01.jpg
case_images: PMC10839822_02_cureus-0016-00000051734-i01.jpg
case_images: FIG1
case_images: The patient then underwent a CT of the neck and maxillofacial region with intravenous contrast, which revealed a left peritonsillar abscess measuring 2.6 x 1.4 x 3.2 cm (anterior-posterior, transverse, and craniocaudal, respectively) and perforating into the parapharyngeal space as well as left internal jugular vein thrombosis concerning for Lemierre's syndrome (Figure 1).
case_images: Bright yellow granules in right lower molars, which raised suspicion for Actinomyces
case_images: cureus-0016-00000051734-i02.jpg
case_images: PMC10839822_02_cureus-0016-00000051734-i02.jpg
case_images: FIG2
case_images: A physical exam revealed bright yellow granules in his right lower molars (Figure 2).
case_images: PMC10839822_03
case_images: PMC10839822_04