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Updated: Jun 4, 2026

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
08:22

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

Published on: July 21, 2013

Lemierre syndrome: a case report.

U Kisser1, R Gurkov, W Flatz

  • 1Department of Otorhinolaryngology, Head and Neck Surgery, University of Munich, Munich, Germany. ulrich.kisser@med.uni-muenchen.de

American Journal of Otolaryngology
|February 25, 2011
PubMed
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Lemierre syndrome, a rare infection caused by Fusobacterium necrophorum, can present as facial vein thrombophlebitis. Early recognition of facial infections post-sore throat is crucial for diagnosing this severe condition.

Area of Science:

  • Infectious Diseases
  • Vascular Surgery

Background:

  • Lemierre syndrome, or postanginal sepsis, is a rare but serious condition typically caused by Fusobacterium necrophorum.
  • It classically involves thrombophlebitis of the jugular vein and septic emboli, often following a sore throat.

Observation:

  • This case report details a 22-year-old male diagnosed with Lemierre syndrome.
  • The patient presented with thrombophlebitis of the facial vein and positive blood cultures for Fusobacteria.
  • Notably, there was no apparent initial focus of inflammation, highlighting atypical presentations.

Findings:

  • The case demonstrates an unusual manifestation of Lemierre syndrome involving the facial vein.
  • Fusobacterium necrophorum was identified as the causative agent through blood cultures.

Related Experiment Videos

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Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
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Published on: July 21, 2013

  • The absence of a clear initial inflammatory focus complicated the early diagnosis.
  • Implications:

    • Severe facial infections accompanied by fever and malaise after a sore throat warrant consideration for Lemierre syndrome.
    • This underscores the importance of considering Fusobacterium necrophorum in the differential diagnosis of facial vein thrombophlebitis.
    • Prompt diagnosis and treatment are essential to prevent severe complications associated with Lemierre syndrome.