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Lemierre syndrome: more than just a sore throat
  1. Christine Azzopardi,
  2. Reuben Grech,
  3. Adrian Mizzi
  1. Department of Radiology, Mater Dei Hospital, Msida, Malta
  1. Correspondence to Dr Christine Azzopardi, chrissyazz{at}

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A previously healthy, 35-year-old, immunocompetent man presented with a 2-day history of sore throat and unilateral swelling of the right neck. The patient was found to be tachycardic and pyrexic on clinical examination.

Lemierre syndrome is the sequela of acute pharyngotonsillitis. The cause is often the anaerobe Fusobacterium necrophorum.1 Patients present with septicaemia and a preceding history of upper respiratory tract infection. The infection primarily affects the palatine tonsils, spreading along the fascial planes into the carotid space resulting in thrombophlebitis of the internal …

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