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Lemierre’s syndrome: a disguised threat
  1. Sérgio Alves,
  2. Lorena Stella,
  3. Isabel Carvalho and
  4. Diana Moreira
  1. Department of Paediatrics, Centro Hospitalar de Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal
  1. Correspondence to Dr Sérgio Alves, sergio_falves{at}


Lemierre’s syndrome is a potentially severe disease characterised by suppurative thrombophlebitis of the internal jugular vein and subsequent disseminated septic embolisation. The profile of this syndrome declined in the mid-20th century, coinciding with the introduction of antibiotics. Currently, lack of awareness of this condition delays appropriate treatment and worsens prognosis. We report a case of Lemierre’s syndrome in a 12-year-old girl.

  • infectious diseases
  • paediatrics
  • pulmonary embolism

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  • Contributors All authors made substantial contributions to the elaboration of the work. SA: patient management, conception and design of the work, drafting the manuscript, bibliographic research. LS: revision of the manuscript critically for important intellectual content, bibliographic research. IC: patient follow-up, revision of the manuscript critically for important intellectual content. DM: patient management and follow-up, conception of the work, revision of the manuscript critically for important intellectual content. Final version to be published was approved by all authors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.