{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T10:44:53Z","timestamp":1786790693242,"version":"build-2736575974"},"reference-count":21,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,12,14]]},"abstract":"<jats:p>Lemierre\u2019s syndrome is a potentially life-threatening consequence of oropharyngeal and ear infections and often results in critical care admission and even intubation. Due to the multisystem manifestation, multiple teams may initially be involved in the care, some of which may be unfamiliar with the features and usual clinical course. This report describes a case in a 36-year-old woman with the classic features of internal jugular vein thrombosis and septic emboli to the lungs secondary to an oropharyngeal infection. Treatment comprised antibiotic therapy, anticoagulation and fluid resuscitation, and was carried out in a high dependency unit setting. At follow-up 3 months after discharge, the patient was well with no residual symptoms off all treatment. During the events of this case, it became apparent that while ear, nose and throat and infectious diseases team members were relatively familiar with the condition, other departments including the critical care team were less so.<\/jats:p>","DOI":"10.1136\/bcr-2017-222723","type":"journal-article","created":{"date-parts":[[2018,1,3]],"date-time":"2018-01-03T10:01:27Z","timestamp":1514973687000},"page":"bcr-2017-222723","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Lemierre\u2019s syndrome: a pain in the neck with far-reaching consequences"],"prefix":"10.1136","volume":"2018","author":[{"given":"Thomas James","family":"Stubington","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"James","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,1,3]]},"reference":[{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.1","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/S0140-6736(00)57035-4","article-title":"On certain septicaemias due to anaerobic organisms","volume":"227","author":"Lemierre","year":"1936","journal-title":"The Lancet"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.2","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2003.014274"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.3","first-page":"278","article-title":"Lemierre Disease in the south west peninsula","volume":"4","author":"Jones","year":"2002","journal-title":"Communicable Disease and Public Health"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.4","doi-asserted-by":"publisher","DOI":"10.1007\/BF01708619"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2004.09.013"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.6","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-014-2052-8"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.anaerobe.2005.11.003"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.8","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1017\/S0950268800054546","article-title":"Experimental observations on the pathogenesis of necrobacillosis","volume":"104","author":"Smith","year":"1990","journal-title":"Epidemiol Infect"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.9","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1017\/S0950268812000660","article-title":"Epidemiology and clinical outcomes of patients with Fusobacterium bacteraemia","volume":"141","author":"Goldberg","year":"2013","journal-title":"Epidemiol Infect"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.10","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20542"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.11","doi-asserted-by":"crossref","first-page":"397","DOI":"10.5761\/atcs.cr.10.01587","article-title":"Extra-corporeal membrane oxygenation in a patient with Fusobacterium sepsis: a case report and review of literature","volume":"17","author":"Kamath","year":"2011","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.12","first-page":"419","article-title":"Computed tomographic findings in Lemierre syndrome","volume":"67","author":"Lai","year":"2004","journal-title":"J Chin Med Assoc"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.13","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-4679(02)00446-8"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.14","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811700909"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejphar.2006.11.068"},{"key":"2025042702162482000_2018.jan03_1.bcr-2017-222723.16","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.ijporl.2016.06.013","article-title":"To anticoagulate? 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