Septic thrombophlebitis of the internal jugular vein. Patient presents with a sore throat, fevers, and septic emboli on CXR. CT the neck to find the clot and lung to see the emboli along with positive blood cultures makes the diagnosis.
Usually a result of poor dentition. Often occurs after a sore throat, hence the name post-anginal sepsis.In the old days angina meant sore throat; the word "angina" comes from the Latin verb "angere" meaning "to choke or throttle." It is moving South and, with a form of medical techtonics will mean foot pain in 10,000 years. There are a few cases where it has been a complication of mononucleosis.
It seems to be a disease on the rise. I postulate that the decreased use of antibiotics in the outpatient setting is resulting in more odd head and neck infections of all kinds. As I am sure you know, no good deed goes unpunished.