A rare, but life-threatening sore throat: A case of Lemierre's syndrome
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Updated: Nov 12, 2025

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Published on: March 18, 2020
A McCleane1, M Hunter2, P C Johnston3
1MB, BCh, BAO, MRCP, Acute Medicine Unit, Wards 7B and 7C, Royal Victoria Hospital, Belfast.
Abstract:
We present the case of a previously healthy, immunocompetent male with Lemierre's Syndrome. He presented with headache, sore throat and pyrexia. Initial blood tests revealed raised inflammatory markers and electrolyte abnormalities. Blood cultured Fusobacterium necrophorum. He developed respiratory distress and imaging confirmed lung abscess and empyema due to septic emboli. He required surgical drainage and a prolonged course of antibiotics. This case highlights the rare, but life-threatening condition of Lemierre's Syndrome. We discuss the importance of prompt recognition and early antibiotic therapy.
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