{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T11:40:53Z","timestamp":1780659653169,"version":"3.54.1"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Emerg Med"],"DOI":"10.1186\/s12245-025-01082-0","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T16:13:27Z","timestamp":1764951207000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Atypical Lemierre\u2019s syndrome in a tuberculosis survivor: facial abscess and brachiocephalic thrombosis mimicking disseminated infection: a case report"],"prefix":"10.1186","volume":"18","author":[{"family":"Riazullah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aafeen","family":"Mujeeb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yassar Ul","family":"Mulk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sundus","family":"Huma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Amin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8275-5713","authenticated-orcid":false,"given":"Inibehe Ime","family":"Okon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,5]]},"reference":[{"key":"1082_CR1","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1016\/j.thromres.2020.10.002","volume":"196","author":"L Valerio","year":"2020","unstructured":"Valerio L, Corsi G, Sebastian T, Barco S. Lemierre syndrome: current evidence and rationale of the Bacteria-Associated Thrombosis, Thrombophlebitis and Lemierre syndrome (BATTLE) registry. Thromb Res. 2020;196:494\u201399.","journal-title":"Thromb Res"},{"issue":"6","key":"1082_CR2","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1288\/00005537-192006000-00005","volume":"30","author":"HP Mosher","year":"1920","unstructured":"Mosher HP. Deep cervical abscess and thrombosis of the internal jugular vein. Laryngoscope. 1920 Jun;30(6):365\u201375.","journal-title":"Laryngoscope"},{"key":"1082_CR3","first-page":"100867","volume":"28","author":"S Habib","year":"2019","unstructured":"Habib S, Rajdev K, Siddiqui AH, Azam M, Memon A, Chalhoub M. Septic emboli of the lung due to Fusobacterium necrophorum, a case of Lemierre\u2019s syndrome. Respir Med Case Rep. 2019;28:100867.","journal-title":"Respir Med Case Rep"},{"key":"1082_CR4","doi-asserted-by":"crossref","unstructured":"AlAmer NA, AlMarzouq WF. Lemierre syndrome: a hidden complication of sore throats. Int J Emerg Med. 2023 Jul 24;16(1):45.","DOI":"10.1186\/s12245-023-00524-x"},{"issue":"4","key":"1082_CR5","doi-asserted-by":"publisher","first-page":"622","DOI":"10.1128\/CMR.00011-07","volume":"20","author":"T Riordan","year":"2007","unstructured":"Riordan T. Human infection with Fusobacterium necrophorum (Necrobacillosis), with a focus on Lemierre\u2019s syndrome. Clin Microbiol Rev. 2007 Oct;20(4):622\u201359.","journal-title":"Clin Microbiol Rev"},{"issue":"2","key":"1082_CR6","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1016\/S0196-0644(05)80216-1","volume":"22","author":"CL Weesner","year":"1993","unstructured":"Weesner CL, Cisek JE. Lemierre syndrome: the forgotten disease. Ann Emerg Med. 1993 Feb;22(2):256\u201358.","journal-title":"Ann Emerg Med"},{"key":"1082_CR7","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1016\/j.jdmv.2020.03.009","volume":"45","author":"F Bellazreg","year":"2020","unstructured":"Bellazreg F, Ben Haj Ali E, Ben Lasfar N, Mama N, Hachfi W, Letaief A. Lemierre syndrome, a rare complication of otitis media. JMV-Journal de M\u00e9decine Vasculaire. 2020;45:168\u201370. https:\/\/doi.org\/10.1016\/j.jdmv.2020.03.009.","journal-title":"JMV-Journal de M\u00e9decine Vasculaire"},{"key":"1082_CR8","doi-asserted-by":"publisher","first-page":"bjcr59","DOI":"10.52600\/2763-583X.bjcr.2025.5.1.bjcr59","volume":"5","author":"LL Pierre","year":"2025","unstructured":"Pierre LL, Cisne ACF, Pierre LL, Pierre-Filho PDTP. Lemierre syndrome due to Staphylococcus aureus infection and presenting with periorbital cellulitis and bilateral abducens nerve palsy. BJCR. 2025;5:bjcr59. https:\/\/doi.org\/10.52600\/2763-583X.bjcr.2025.5.1.bjcr59.","journal-title":"BJCR"},{"issue":"1","key":"1082_CR9","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1186\/1865-1380-6-40","volume":"6","author":"W Eilbert","year":"2013","unstructured":"Eilbert W, Singla N. Lemierre\u2019s syndrome. Int J Emerg Med. 2013 Dec;6(1):40.","journal-title":"Int J Emerg Med"},{"issue":"5","key":"1082_CR10","doi-asserted-by":"publisher","first-page":"568","DOI":"10.1016\/j.bjorl.2015.03.009","volume":"81","author":"HJ Noh","year":"2015","unstructured":"Noh HJ, De Freitas CA, De Paula E, Silva Felici De Souza R, Sim\u00f5es JC, Kosugi EM. Lemierre syndrome: a rare complication of pharyngotonsillitis. Braz J Otorhinolaryngol. 2015 Sep;81(5):568\u201370.","journal-title":"Braz J Otorhinolaryngol"},{"key":"1082_CR11","doi-asserted-by":"publisher","unstructured":"Yasmin T, Glazer S, Chen BA, Fever AF. sore throat, and abdominal pain \u2013 connecting the dots to a \u2018forgotten\u2019 disease: a case report of atypical Lemierre\u2019s syndrome. EMJ. 2024;96\u2013103. https:\/\/doi.org\/10.33590\/emj\/WHTD3554.","DOI":"10.33590\/emj\/WHTD3554"},{"issue":"881","key":"1082_CR12","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1136\/pgmj.75.881.141","volume":"75","author":"R Golpe","year":"1999","unstructured":"Golpe R, Mar\u00edn B, Alonso M. Lemierre\u2019s syndrome (necrobacillosis). Postgrad Med J. 1999 Mar 1;75(881):141\u201344.","journal-title":"Postgrad Med J"},{"issue":"944","key":"1082_CR13","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1136\/pgmj.2003.014274","volume":"80","author":"T Riordan","year":"2004","unstructured":"Riordan T, Wilson M. Lemierre\u2019s syndrome: more than a historical curiosa. Postgrad Med J. 2004 Jun 10;80(944):328\u201334.","journal-title":"Postgrad Med J"},{"key":"1082_CR14","doi-asserted-by":"publisher","first-page":"868","DOI":"10.1186\/s12879-019-4538-6","volume":"19","author":"M-E Laurencet","year":"2019","unstructured":"Laurencet M-E, Rosset\u2013Zufferey S, Schrenzel J. Atypical presentation of Lemierre\u2019s syndrome: case report and literature review. BMC Infect Dis. 2019;19:868. https:\/\/doi.org\/10.1186\/s12879-019-4538-6.","journal-title":"BMC Infect Dis"},{"key":"1082_CR15","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1016\/j.arcped.2023.02.007","volume":"30","author":"R El Hajj","year":"2023","unstructured":"El Hajj R, Stanzelova A, De Marcellus C, Kossorotoff M, Remangeon F, Roux C-J, et al. Severe atypical Lemierre syndrome caused by methicillin-sensitive Staphylococcus aureus: two pediatric case reports. Archives de P\u00e9diatrie. 2023;30:343\u201346.","journal-title":"Archives de P\u00e9diatrie"},{"key":"1082_CR16","doi-asserted-by":"publisher","unstructured":"Walizada AS, Lyons SE, Penales C, Lopez-Medal MA Lemierre syndrome in the setting of bacteremia and atypical pneumonia: a case report. Cureus 2024. https:\/\/doi.org\/10.7759\/cureus.69178.","DOI":"10.7759\/cureus.69178"},{"issue":"5","key":"1082_CR17","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1016\/j.revmed.2017.11.005","volume":"39","author":"H Mesrar","year":"2018","unstructured":"Mesrar H, Mesrar J, Maillier B, Kraoua S, Chapoutot L, Delclaux B. Syndrome de Lemierre: diagnostic, exploration, traitement. Rev M\u00e9decine Interne. 2018 May;39(5):339\u201345.","journal-title":"Rev M\u00e9decine Interne"},{"issue":"5","key":"1082_CR18","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1097\/SMJ.0b013e31825581ef","volume":"105","author":"WF Wright","year":"2012","unstructured":"Wright WF, Shiner CN, Ribes JA. Lemierre syndrome. South Med J. 2012 May;105(5):283\u201388.","journal-title":"South Med J"},{"issue":"3","key":"1082_CR19","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1111\/joim.13114","volume":"289","author":"L Valerio","year":"2021","unstructured":"Valerio L, Zane F, Sacco C, Granziera S, Nicoletti T, Russo M, et al. Patients with Lemierre syndrome have a high risk of new thromboembolic complications, clinical sequelae and death: an analysis of 712 cases. J Intern Med. 2021 Mar;289(3):325\u201339.","journal-title":"J Intern Med"},{"key":"1082_CR20","doi-asserted-by":"publisher","first-page":"e70844","DOI":"10.1002\/ccr3.70844","volume":"13","author":"HA Abdela","year":"2025","unstructured":"Abdela HA, Woyimo TG, Muktar KN, Geremew NB, Abdulmalik GT, Weyeyso FT, et al. Unmasking rarity: an atypical presentation of Lemierre\u2019s syndrome. Clin Case Rep. 2025;13:e70844.","journal-title":"Clin Case Rep"},{"key":"1082_CR21","doi-asserted-by":"publisher","unstructured":"Perez S, Shtanko Y, Del Pilar Bonilla L, Portnoy W Case report: an unusual case of Lemierre\u2019s syndrome presenting as influenza B-induced myositis complicated by streptococcus intermedius infection. Cureus 2024. https:\/\/doi.org\/10.7759\/cureus.64437.","DOI":"10.7759\/cureus.64437"},{"key":"1082_CR22","doi-asserted-by":"publisher","first-page":"1064","DOI":"10.3390\/idr16060086","volume":"16","author":"L Pipit\u00f2","year":"2024","unstructured":"Pipit\u00f2 L, Anastasia A, Passalacqua F, D\u2019Agati G, Di Figlia F, Romanin B, et al. Lemierre syndrome associated with Streptococcus constellatus and atypical vascular involvement: a case report and review of the literature. Infect Dis Rep. 2024;16:1064\u201374.","journal-title":"Infect Dis Rep"},{"key":"1082_CR23","doi-asserted-by":"publisher","unstructured":"Mishima K, Aoki K, Shirai Y, Aritomo H, Iwasaka M, Katsura M, Tatsutani T, Ikeuchi H, Oryoji K, Mizuki S. Elderly onset atypical Lemierre\u2019s syndrome concurrent with a rheumatoid vasculitis sacral ulcer infection: a case report. BMC Infectious Diseases 2023. https:\/\/doi.org\/10.1186\/s12879-023-08089-z","DOI":"10.1186\/s12879-023-08089-z"},{"key":"1082_CR24","doi-asserted-by":"publisher","unstructured":"George AR, Thomas J, Welikumbura S, et al. Lemierre\u2019s syndrome: an atypical case of Fusobacterium necrophorum bacteraemia in the absence of internal jugular vein thrombosis. Cureus. Epub ahead of print 14 Aug 2024. https:\/\/doi.org\/10.7759\/cureus.66867","DOI":"10.7759\/cureus.66867"},{"key":"1082_CR25","first-page":"1","volume":"2022","author":"M Abbas","year":"2022","unstructured":"Abbas M, Constantin MI, Narendra A. Pylephlebitis caused by Fusobacterium nucleatum in a septuagenarian healthy caucasian male: atypical presentation of Lemierre\u2019s syndrome. Case Rep Infect Dis. 2022;2022:1\u20134.","journal-title":"Case Rep Infect Dis"}],"container-title":["International Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-025-01082-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12245-025-01082-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-025-01082-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T07:37:05Z","timestamp":1765179425000},"score":1,"resource":{"primary":{"URL":"https:\/\/intjem.biomedcentral.com\/articles\/10.1186\/s12245-025-01082-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,5]]},"references-count":25,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["1082"],"URL":"https:\/\/doi.org\/10.1186\/s12245-025-01082-0","relation":{},"ISSN":["1865-1380"],"issn-type":[{"value":"1865-1380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,5]]},"assertion":[{"value":"24 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 December 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Case reports require written informed consent from the patient which has been obtained. However, case reports do not require ethical review from the institutional review committee at our institution.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for the publication of this case report and images. A copy of the written consent is available for review by the Editor-in-Chief of this journal upon request.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"256"}}