title: [A cervical necrotizing cellulitis revealing a Lemierre syndrome].
abstract: BACKGROUND
  Lemierre syndrome is characterized by a septic thrombophlebitis of the internal jugular vein (IJV) following an oropharyngeal infection.
  
  
  METHODS
  We report a case of Lemierre syndrome that occurred in a context of angina and necrotizing cellulitis of the neck in a 45-year-old patient. The Doppler ultrasound exam of the neck vessels and a neck CT showed an IJV thrombophlebitis. No germ could be isolated in the samples (blood culture, pus). The treatment associated antibiotics, heparin and surgical debridement of the necrotic tissues with extraction of the thrombus after ligation and section of the IJV. The postoperative course was uneventful.
  
  
  CONCLUSIONS
  Lemierre syndrome is a rare but serious disease. Its low incidence makes him a forgotten disease. It should be systematically suspected in any oropharyngeal infection with the presence of a large painful swelling of the neck.
authors.affiliation: Service de stomatologie et chirurgie maxillo-faciale, CHU de Treichville, Abidjan, Côte d'Ivoire.
authors.forename: C
authors.initials: C
authors.lastname: Assouan
authors.affiliation: Service de stomatologie et chirurgie maxillo-faciale, CHU de Treichville, Abidjan, Côte d'Ivoire. Electronic address: salami_arnaud@yahoo.fr.
authors.forename: A
authors.initials: A
authors.lastname: Salami
authors.affiliation: Service de stomatologie et chirurgie maxillo-faciale, CHU de Treichville, Abidjan, Côte d'Ivoire.
authors.forename: E
authors.initials: E
authors.lastname: Anzouan-Kacou
authors.affiliation: Service de stomatologie et chirurgie maxillo-faciale, CHU de Treichville, Abidjan, Côte d'Ivoire.
authors.forename: N
authors.initials: N
authors.lastname: Nguessan
authors.affiliation: Service de stomatologie et chirurgie maxillo-faciale, CHU de Treichville, Abidjan, Côte d'Ivoire.
authors.forename: E
authors.initials: E
authors.lastname: Konan
mesh_terms: D002481:Cellulitis / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D057831:Lemierre Syndrome / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000473:pathology*
keywords: Cellulite; Cellulitis; Lemierre syndrome; Syndrome de Lemierre; Thrombophlebitis; Thrombophlébite