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Atypical involvement of the thyro-linguo-facial vein in Lemierre syndrome
  1. Sophie Constans1,
  2. Thomas Bosshard1,
  3. Pierre-Auguste Petignat2 and
  4. Damien Le Peillet1
  1. 1Internal Medicine, Valais Hospital, Sion, Valais, Switzerland
  2. 2Internal Medicine, Hôpital de Sion Centre Hospitalier du Valais Romand, Sion, Valais, Switzerland
  1. Correspondence to Dr Damien Le Peillet; dlepeillet{at}


Fusobacterium necrophorum is a Gram-negative anaerobic bacterium that can lead to severe infection in young patients even without immunodeficiency. Due to the length of time for isolation and speciation of this Gram-negative bacillus (typically 5–8 days), and its potential mortality, broad-spectrum antibiotic therapy should be started without delay. With a cervical thrombosis, even on an unusual site and with a standard condition such as tonsillitis, Lemierre syndrome should be considered. We report a case of Lemierre syndrome in a previously healthy young woman.

  • Ear, nose and throat/otolaryngology
  • General practice / family medicine
  • Infectious diseases

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  • Contributors SC: in charge of the patient and writing of the case report; DLP: supervision of the patient and literature review; TB: supervision of the patient and bibliography. P-AP: head of the department and made all the corrections of this case report.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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