title: Lemierre Syndrome of the Femoral Vein, Related to Fusobacterium necrophorum Abscess of Vastus Lateralis.
abstract: BACKGROUND
  Lemierre syndrome is an uncommon, potentially lethal disorder combining acute oropharyngeal infection caused by Fusobacterium necrophorum, with jugular vein suppurative thrombosis, complicated by anaerobic sepsis with secondary multiple metastatic abscesses. Optimal treatment outcome with reduced or absence of sequelae can be achieved with early diagnosis.
  
  
  METHODS
  We present a clinical case of Fusobacterium necrophorum abscess complicated with femoral vein thrombosis, called atypical localization of Lemierre syndrome. This uncommon disease was diagnosed on the basis of clinical, biological, and imaging tests, with a favorable outcome, after a well-orientated antibiotic and surgical course of therapy. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Since its first description in 1936, Lemierre syndrome has been reported in locations other than its initial oropharyngeal site. Because optimal treatment outcome is dependent on early diagnosis, it is imperative for emergency physicians to be aware of this uncommon disease, because in many instances they are the patient's initial point of contact with medical care.
authors.affiliation: Department of Internal Medicine and Infectious Diseases, Cliniques universitaires St Luc, Université Catholique de Louvain, Bruxelles, Belgique.
authors.forename: Jean-Cyr
authors.initials: JC
authors.lastname: Yombi
authors.affiliation: Department of Anaesthesiology, Cliniques universitaires St Luc, Université Catholique de Louvain, Bruxelles, Belgique.
authors.forename: Tom
authors.initials: T
authors.lastname: Bogaert
authors.affiliation: Department of Orthopaedic and Traumatology Surgery, Cliniques universitaires St Luc, Université Catholique de Louvain, Bruxelles, Belgique.
authors.forename: Karim
authors.initials: K
authors.lastname: Tribak
authors.affiliation: Department of Radiology, Cliniques universitaires St Luc, Université Catholique de Louvain, Bruxelles, Belgique.
authors.forename: Etienne
authors.initials: E
authors.lastname: Danse
mesh_terms: D003287:Contrast Media; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D004636:Emergency Service, Hospital; D006801:Humans; D057831:Lemierre Syndrome / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged
chemical_list: D003287:Contrast Media
keywords: CT scan; Fusobacterium necrophorum; Lemierre syndrome; MRI; atypical location