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Atypical presentation of Lemierre syndrome in a young healthy man with acute jaundice
  1. James Patrick King,
  2. Lauren Matthews and
  3. Shanze Ashai
  1. Jack Steinberg Critical Care Unit, King's College Hospital, London, UK
  1. Correspondence to Dr James Patrick King; james.king16{at}


This report presents a case of Lemierre syndrome caused by Fusobacterium necrophorum in a healthy young adult who presented atypically with shortness of breath and jaundice but no clinical or diagnostic evidence of thrombophlebitis. Due to this unusual presentation with jaundice, diagnosis was challenging and delayed. However, the patient was successfully initiated on a prolonged course of intravenous antibiotics; he required a period in the intensive care unit and was discharged without significant complications. This report aims to raise awareness of the diagnosis and treatment of this rare condition and to highlight both common and unusual presentations of the syndrome.

  • Respiratory system
  • Infection (gastroenterology)
  • Hepatitis other
  • Hepatitis and other GI infections
  • Intensive care

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  • Contributors All authors were directly involved in the care of the patient. JPK and LM were involved in the drafting and acquisition/analysis of data. LM was also involved in correspondence with the patient. SA was involved in drafting and correspondence with relevent specialties.

  • 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.