The evolution of Lemierre syndrome: report of 2 cases and review of the literature
JA Chirinos, DM Lichtstein, J Garcia, LJ Tamariz - Medicine, 2002 - journals.lww.com
Lemierre syndrome (postanginal septicemia) is caused by an acute oropharyngeal infection
with secondary septic thrombophlebitis of the internal jugular vein and frequent metastatic
infections. A high degree of clinical suspicion is necessary for diagnosis. Fusobacterium
necrophorum is the usual etiologic agent. The disease progresses in several steps. The first
stage is the primary infection, which is usually a pharyngitis (87.1% of cases). This is
followed by local invasion of the lateral pharyngeal space and IJV septic thrombophlebitis …
with secondary septic thrombophlebitis of the internal jugular vein and frequent metastatic
infections. A high degree of clinical suspicion is necessary for diagnosis. Fusobacterium
necrophorum is the usual etiologic agent. The disease progresses in several steps. The first
stage is the primary infection, which is usually a pharyngitis (87.1% of cases). This is
followed by local invasion of the lateral pharyngeal space and IJV septic thrombophlebitis …
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