title: Incomplete Lemierre syndrome.
abstract: An invasive Fusobacterium infection may originate from an apparent routine pharyngitis and lead to significant distant septic complications. Even without internal jugular thrombosis, the same mechanism of disease exists, and therefore, the same morbidity, prognosis, and treatments are applicable, hence the suitable term incomplete Lemierre syndrome. We present a case of invasive Fusobacterium infection that meets all criteria for Lemierre syndrome except lacking internal jugular thrombosis. A review of the literature that forms the diagnostic criteria for this syndrome and the rationale for our creating this novel term is presented.
authors.affiliation: *From the UF College of Medicine, Jacksonville, FL; and †University of Maryland/R Adams Cowley Shock Trauma Center, Baltimore, MD.
authors.forename: Joseph
authors.initials: J
authors.lastname: Shiber
authors.forename: Emily
authors.initials: E
authors.lastname: Fontane
authors.forename: Ronald
authors.initials: R
authors.lastname: Rabinowitz
authors.forename: David
authors.initials: D
authors.lastname: Gens
authors.forename: Nader
authors.initials: N
authors.lastname: Habashi
authors.forename: Thomas
authors.initials: T
authors.lastname: Scalea
mesh_terms: D000293:Adolescent; D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D000890:Anti-Infective Agents / Q000627:therapeutic use*; D005260:Female; D005674:Fusobacterium Infections / Q000175:diagnosis* / Q000188:drug therapy; D016967:Fusobacterium nucleatum / Q000302:isolation & purification*; D006801:Humans; D057831:Lemierre Syndrome / Q000175:diagnosis* / Q000188:drug therapy; D008795:Metronidazole / Q000627:therapeutic use*; D013407:Sulbactam / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents; D008795:Metronidazole; C035444:sultamicillin; D000667:Ampicillin; D013407:Sulbactam