title: A case of craniocervical abscess with sinus thrombosis in Lemierre's syndrome.
abstract: A 74-year old gentleman with a cranio-cervical abscess failed to improve after incision and drainage and standard intravenous antibiotic therapy. Imaging demonstrated thrombosis of the internal jugular vein, sigmoid sinus and transverse sinus; and microbiological analysis isolated Fusobacterium nucleatum. The diagnosis of Lemierre's syndrome was confirmed, and he was effectively treated with appropriate antibiotics and anti-coagulation.
authors.affiliation: Nottingham University Hospital, Centre for Spinal Studies and Surgery, Derby Road, Nottingham, UK.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Price
authors.forename: Lyndsay
authors.initials: L
authors.lastname: Wilson
authors.forename: Magnum
authors.initials: M
authors.lastname: Tsegaye
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D000925:Anticoagulants / Q000627:therapeutic use*; D001922:Brain Abscess / Q000188:drug therapy*; D004359:Drug Therapy, Combination; D006801:Humans; D007601:Jugular Veins; D057831:Lemierre Syndrome / Q000188:drug therapy*; D008279:Magnetic Resonance Imaging; D008297:Male; D012851:Sinus Thrombosis, Intracranial / Q000188:drug therapy*; D014859:Warfarin / Q000627:therapeutic use*
chemical_list: D000900:Anti-Bacterial Agents; D000925:Anticoagulants; D014859:Warfarin