Unusual presentation of Lemierre's syndrome: two cases and a review

Matthijs van Wissen, Victor E. A. Gerdes, Eric C. M. van Gorp, Dees P. M. Brandjes, Marcel Soesan

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Abstract

Lemierre's syndrome is a potentially fatal disease that usually presents with oropharyngeal infection, followed by sepsis, thrombosis of the internal jugular vein and septic emboli. Most cases are caused by the Gram-negative, anaerobic Fusobacterium necrophorum. We present two patients with an atypical presentation of Lemierre's syndrome and a review. These cases illustrate that a positive blood culture for F necrophorum, even without the presence of clinical symptoms pointing towards thrombosis of the internal jugular vein, justifies further radiological testing for thrombophlebitis of the internal jugular vein. Blood Coagul Fibrinolysis 20:466-469 (C) 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
Original languageEnglish
Pages (from-to)466-469
JournalBlood coagulation & fibrinolysis
Volume20
Issue number6
DOIs
Publication statusPublished - 2009

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