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Treatment consisted of an unfractionated heparin infusion and intravenous antibiotics. A right-sided intercostal drain was inserted for a complex right-sided empyema. He subsequently developed a left-sided pleural effusion which was treated with a video-assisted thoracoscopic surgery (VATS) pleurodesis procedure. His fever resolved after his VATS pleurodesis procedure 3 weeks after initial presentation. Clinically he made a slow recovery but now is improved after 6 weeks of intravenous antibiotics and was discharged home.<\/jats:p>","DOI":"10.1136\/bcr-2017-224151","type":"journal-article","created":{"date-parts":[[2018,4,28]],"date-time":"2018-04-28T16:10:13Z","timestamp":1524931813000},"page":"bcr-2017-224151","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Lemierre\u2019s syndrome: a rare cause of sepsis presenting with an absence of throat symptoms"],"prefix":"10.1136","volume":"2018","author":[{"given":"Thomas","family":"Whittle","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha","family":"Amiraraghi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bappa","family":"Sarkar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,4,28]]},"reference":[{"doi-asserted-by":"publisher","key":"2025042703303475000_2018.apr28_1.bcr-2017-224151.1","DOI":"10.1002\/lary.20542"},{"key":"2025042703303475000_2018.apr28_1.bcr-2017-224151.2","doi-asserted-by":"crossref","first-page":"137","DOI":"10.5582\/irdr.2017.01021","article-title":"Septic thrombophlebitis of the internal jugular vein, a case of Lemierre\u2019s syndrome","volume":"6","author":"Alperstein","year":"2017","journal-title":"Intractable Rare Dis Res"},{"doi-asserted-by":"publisher","key":"2025042703303475000_2018.apr28_1.bcr-2017-224151.3","DOI":"10.1186\/1865-1380-6-40"},{"key":"2025042703303475000_2018.apr28_1.bcr-2017-224151.4","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1177\/1751143717698978","article-title":"Lemierre\u2019s Syndrome - A rare cause of disseminated sepsis requiring multi-organ support","volume":"18","author":"Rae","year":"2017","journal-title":"J Intensive Care Soc"},{"key":"2025042703303475000_2018.apr28_1.bcr-2017-224151.5","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1111\/apm.12606","article-title":"Fusobacterium necrophorum findings in Denmark from 2010 to 2014 using data from the Danish microbiology database","volume":"124","author":"Bank","year":"2016","journal-title":"APMIS"},{"key":"2025042703303475000_2018.apr28_1.bcr-2017-224151.6","doi-asserted-by":"crossref","first-page":"221","DOI":"10.2147\/IDR.S95050","article-title":"Lemierre\u2019s syndrome: current perspectives on diagnosis and management","volume":"9","author":"Johannesen","year":"2016","journal-title":"Infect Drug Resist"},{"doi-asserted-by":"publisher","key":"2025042703303475000_2018.apr28_1.bcr-2017-224151.7","DOI":"10.1177\/000348940811700909"},{"doi-asserted-by":"publisher","key":"2025042703303475000_2018.apr28_1.bcr-2017-224151.8","DOI":"10.1055\/s-0033-1336828"},{"doi-asserted-by":"publisher","key":"2025042703303475000_2018.apr28_1.bcr-2017-224151.9","DOI":"10.3122\/jabfm.2009.01.070247"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-224151","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:30:46Z","timestamp":1745749846000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-224151"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,28]]},"references-count":9,"alternative-id":["10.1136\/bcr-2017-224151"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-224151","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,4,28]]}}}