{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T10:44:56Z","timestamp":1786790696150,"version":"build-2736575974"},"reference-count":8,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,9,30]]},"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:p>Lemierre\u2019s syndrome is a very rare but potentially fatal condition. It mainly affects adolescents and young adult males, and usually arises as a serious complication of pharyngitis or peritonsillar abscess. It is characterised by the triad of internal jugular vein septic thrombophlebitis, septic emboli (mostly pulmonary) and the isolation of the agent \u2018<jats:italic>Fusobacterium necrophorum\u2019<\/jats:italic> in sterile fluids. In this report, it is described a case in which the nonspecific and subtle clinic made the diagnosis difficult to reach. In fact, only the dissociation between flu-like symptoms and the presence of significant changes in the blood tests (suggestive of acute bacterial infection), led to the request for imaging tests, which proved to be essential for the final diagnosis and subsequent control of the disease. This case report aims to increase the awareness among Ear, Nose and Throat (ENT) residents, paediatricians and family doctors about the existence of this entity and its potential life-threatening nature.<\/jats:p>","DOI":"10.1136\/bcr-2020-236201","type":"journal-article","created":{"date-parts":[[2020,10,30]],"date-time":"2020-10-30T17:11:06Z","timestamp":1604077866000},"page":"e236201","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Lemierre\u2019s syndrome: a forgotten life-threatening entity"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0198-7321","authenticated-orcid":false,"given":"Rita","family":"Gama","sequence":"first","affiliation":[{"name":"Otorhinolaryngology and Head and Neck Surgery Department, Centro Hospitalar de Vila Nova de Gaia, Porto, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Sousa","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology and Head and Neck Surgery Department, Centro Hospitalar de Vila Nova de Gaia, Porto, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda","family":"Castro","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology and Head and Neck Surgery Department, Centro Hospitalar de Vila Nova de Gaia, Porto, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Artur","family":"Cond\u00e9","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology and Head and Neck Surgery Department, Centro Hospitalar de Vila Nova de Gaia, Porto, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,10,30]]},"reference":[{"key":"2025082704101473000_13.10.e236201.1","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/S0140-6736(00)57035-4","article-title":"On certain SEPTIC\u00c6MIAS due to anaerobic organisms","volume":"227","author":"Lemierre","year":"1936","journal-title":"The Lancet"},{"key":"2025082704101473000_13.10.e236201.2","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2003.014274"},{"key":"2025082704101473000_13.10.e236201.3","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-198903000-00002"},{"key":"2025082704101473000_13.10.e236201.4","doi-asserted-by":"publisher","DOI":"10.1007\/BF00385634"},{"key":"2025082704101473000_13.10.e236201.5","first-page":"507","article-title":"Thrombophlebitis of the internal jugular vein secondary to pharyngitis","volume":"106","author":"Yau PC","year":"1960","journal-title":"Arch Otolaryngol Chic Ill"},{"key":"2025082704101473000_13.10.e236201.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2008.07.016"},{"key":"2025082704101473000_13.10.e236201.7","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1148\/radiology.162.2.3541033","article-title":"Diagnosis of internal jugular vein thrombosis","volume":"162","author":"Albertyn","year":"1987","journal-title":"Radiology"},{"key":"2025082704101473000_13.10.e236201.8","doi-asserted-by":"publisher","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-2020-236201","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:10:21Z","timestamp":1756293021000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-236201"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":8,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2020,10,30]]},"published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1136\/bcr-2020-236201"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-236201","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10]]}}}