title: Fusobacterium septicemia complicated by cerebral subdural and epidural empyemas: a rare case of Lemierre syndrome.
abstract: BACKGROUND
  Lemierre syndrome is characterized by postanginal septicemia and internal jugular vein thrombophlebitis with secondary septic emboli, typically to the lungs. The central nervous system (CNS) is rarely involved.
  
  
  OBJECTIVE
  To present a case of Lemierre syndrome featuring cerebral subdural and epidural empyemas.
  
  
  METHODS
  This case report describes the case of a 17-year-old youth with cerebral subdural and epidural empyemas. The findings of chest computed tomography of the neck and the blood cultures were compatible with Lemierre syndrome. The patient recovered well after antibiotic treatment and surgical debridement.
  
  
  CONCLUSIONS
  Lemierre syndrome can result in infection spreading to the CNS, including cerebral subdural and epidural empyemas. This disease entity should be included in the differential diagnoses of CNS bacterial infections.
authors.affiliation: Department of Neurology, Taipei Medical University-Wan Fang Hospital, Taipei City, Taiwan.
authors.forename: Hao-Wen
authors.initials: HW
authors.lastname: Teng
authors.forename: Chia-Yuen
authors.initials: CY
authors.lastname: Chen
authors.forename: Huan-Chieh
authors.initials: HC
authors.lastname: Chen
authors.forename: Wen-Ting
authors.initials: WT
authors.lastname: Chung
authors.forename: Wen-Sen
authors.initials: WS
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003399:Craniotomy; D003646:Debridement; D004653:Empyema / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D013354:Empyema, Subdural / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy; D004824:Epidural Space / Q000000981:diagnostic imaging / Q000382:microbiology*; D006801:Humans; D057831:Lemierre Syndrome / Q000150:complications* / Q000188:drug therapy; D008297:Male; D011859:Radiography; D018805:Sepsis / Q000150:complications*
chemical_list: D000900:Anti-Bacterial Agents