title: Lemierre's syndrome: a sinister sore throat every clinician should remember.
abstract: Fusobacterium necrophorum is an anaerobic gram-negative bacterium that can present as a painful sore throat. Although uncommon, clinicians need to be aware of this condition as this can present a diagnostic challenge, with the initial symptoms being non-specific followed by a fulminant course. We present the case of a previously healthy girl who presented with a sore throat but later developed a full-fledged picture of Lemierre's disease. She developed bilateral pleural effusion and internal jugular venous thrombosis and needed intensive care management, a prolonged course of intravenous antibiotics and anticoagulation therapy.
authors: Department of Pediatrics, St. Richard's Hospital, Chichester, UK. siba_paul@yahoo.co.uk
authors: Siba Prosad
authors: SP
authors: Paul
authors: Ritu
authors: R
authors: Beri
authors: Michael John
authors: MJ
authors: Linney
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D005260:Female; D005675:Fusobacterium necrophorum / Q000302:isolation & purification*; D006801:Humans; D057831:Lemierre Syndrome / Q000150:complications / Q000175:diagnosis*; D010612:Pharyngitis / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology