title: A case report of Lemierre's Syndrome associated with dental sepsis.
abstract: BACKGROUND
  Lemierre's syndrome is a potentially fatal condition characterised by spread of an oropharyngeal infection, resulting in thrombosis of the internal jugular vein. This leads to septicaemia and possible metastatic abscesses.
  
  
  METHODS
  We discuss the case of a previously healthy 17-year-old male who developed Lemierre's syndrome following dental sepsis. He presented with bilateral submandibular and submental swelling extending into the neck and chest. His management included a tracheostomy; incision and drainage of the abscesses; drainage of a pleural effusion and prolonged anticoagulant therapy.
  
  
  CONCLUSIONS
  The incidence of Lemierre's disease appears to be increasing and early diagnosis is essential. A high index of suspicion is needed in cases of oropharyngeal infection followed by fever, tender swelling of the neck and dysphagia - especially in young patients.
authors.affiliation: Oral and Maxillofacial Surgery Department, Monklands Hospital, UK.
authors.forename: D
authors.initials: D
authors.lastname: Boyd
authors.forename: P
authors.initials: P
authors.lastname: Paterson
authors.forename: L
authors.initials: L
authors.lastname: Dunphy
authors.forename: A
authors.initials: A
authors.lastname: Carton
authors.forename: N
authors.initials: N
authors.lastname: Hammersley
mesh_terms: D000293:Adolescent; D000925:Anticoagulants / Q000627:therapeutic use; D004322:Drainage; D005491:Focal Infection, Dental / Q000150:complications*; D006801:Humans; D057831:Lemierre Syndrome / Q000209:etiology* / Q000601:surgery; D008297:Male; D010996:Pleural Effusion / Q000209:etiology / Q000601:surgery; D014139:Tracheostomy
chemical_list: D000925:Anticoagulants