History The patient was first evaluated at his school clinic where a presumptive diagnosis of infectious mononucleosis (IM) was made and he was treated with oral steroids and NSAIDs. [consultant360.com]

Pediatric Infect Dis J 1988, 7 (6):410–414. 10.1097/00006454-198806000-00008 View Article Google Scholar Dagan R, Powell KR: Postanginal sepsis following infectious mononucleosis. [intjem.springeropen.com]

Postanginal sepsis following infectious mononucleosis. Arch Intern Med. 1987 Sep; 147 (9):1581–1583. [ PubMed ] [ Google Scholar ] Busch N, Mertens PR, Schönfelder T, Nguyen H, Marschall HU, Kierdorf H, Haase G, Urhahn R, Sieberth HG, Matern S. [ncbi.nlm.nih.gov]

R. ( 1987 ) Postanginal sepsis following infectious mononucleosis. Archives of Internal Medicine 147 : 1581 – 1583. Duerden, B. I. ( 1990 ) The bacteroidacea: bacteroides, fusobacteria and leptotrichia. [cambridge.org]

Several cases of Lemierre's syndrome preceded by infectious mononucleosis have been reported, 11 12 so that some authors have suggested the possible role of primary viral throat infection as a risk factor for the syndrome. 3 Enhancement of toxins from [pmj.bmj.com]

With the introduction of antibiotics in the 1940s and their widespread use for streptococcal pharyngitis, the incidence of Lemierre’s syndrome fell dramatically. [link.springer.com]

Recent evidence (3, 4) suggests that Fusobacterium necrophorum pharyngitis occurs as often as streptococcal pharyngitis in patients aged 15 to 30 years. [annals.org]

However its incidence fell dramatically with the introduction of antibiotics for the treatment of streptococcal pharyngitis. Since the advent of antibiotic therapy Lemierre’s syndrome was thought to be the forgotten disease. [ommegaonline.org]

A common 1- to 2-week history of fever, sore throat, neck pain, and fatigue was observed in all patients. Patient 1 developed right facial swelling, neck tenderness, trismus, and tonsillar exudate. [ncbi.nlm.nih.gov]

Unlike many who suffer from the disease, Iniguez was diagnosed with Lemierre's Syndrome, a rare and deadly disease that often goes overlooked by physicians because it presents with such basic symptoms, such as fever, shortness of breath and fatigue. [petaluma360.com]

Breathlessness really sucks, I had chronic fatigue before so was not exactly in the pinkest of health but at least I could walk upstairs without sounding like an asthmatic Gerbil ! [city-data.com]

We report a case of a previously healthy 33-year-old male who presented to his primary care physician with nausea, vomiting, diarrhoea and fever. [ncbi.nlm.nih.gov]

Gastrointestinal complaints such as abdominal pain, nausea, and vomiting were common (49.5% of cases). An elevated white blood cell count occurred in 75.2% of cases. [doi.org]

Often there is abdominal pain, diarrhea, nausea and vomiting during this phase. These signs and symptoms usually occur several days to 2 weeks after the initial symptoms. [en.wikipedia.org]

Abdominal pain with nausea, vomiting, and diarrhea can be seen. End-organ damage can also be detected, including decreased urine output, as well as spleen and liver enlargement. Occasionally, meningitis will also occur. [emdocs.net]

friction rubs as a sign of pericarditis (rare) * Cranial nerve paralysis and Horner\'s syndrome (both rare) Causes - Lemierre's syndrome Not supplied. [checkorphan.org]

friction rubs as a sign of pericarditis (rare) Cranial nerve paralysis and Horner's syndrome (both rare) The bacteria causing the thrombophlebitis are anaerobic bacteria that are typically normal components of the microorganisms that inhabit the mouth [en.wikipedia.org]

He developed left-sided complicated otitis media with retroauricular fluid collection, mastoiditis, and temporomandibular joint effusion. The clinical picture was complicated by a left internal jugular vein and left lateral sinus thrombosis. [ncbi.nlm.nih.gov]

Postma, A 25-year-old male with oligoarthritis as the first sign of Lemierre’s syndrome, Infection, 10.1007/s15010-010-0071-7, 39, 1, (87-89), (2011). [doi.org]

A 54-year-old woman presented with fever, spasmodic torticollis, ptosis, and chemosis in her left eye. [ncbi.nlm.nih.gov]

A 51-year-old woman was hospitalized with a high fever, occipital pain, blepharoptosis, and trismus. [ncbi.nlm.nih.gov]

Megu Yamaguchi, Hitoshi Nishizawa, Taku Yasumoto, Takekazu Kimura, Yasuo Takeuchi, Akinori Takeshita, Toshiyuki Takase, Hiroaki Fujimoto, Misa Nakano and Megumu Fukunaga, Lemierre Syndrome with Blepharoptosis, Internal Medicine, 10.2169/internalmedicine [doi.org]

An 86-year-old patient was hospitalized for fever and left acute orbital syndrome (red eye with moderate visual impairment, chemosis, ophthalmoplegia without proptosis, or any fundus involvement). [ncbi.nlm.nih.gov]

A 10-year-old boy is reported who had a five-day history of ear infection, with the development of fever, drowsiness and ipsilateral neck swelling. Unexpected cardiac arrest occurred soon after medical assessment. [ncbi.nlm.nih.gov]

Neck swelling may be evident. Bacteremia and distal infective thromboembolism is common (lungs most commonly affected, however almost any organ may be involved 4 ). [radiopaedia.org]

The 2 major red flags in adolescent and young adult pharyngitis are worsening symptoms or neck swelling. If the patient has bacteremic symptoms, treat either with a combination of penicillin and metronidazole or with clindamycin alone. [annals.org]

We report the case of a 22-year-old woman hospitalized initially for cellulitis of the face. [ncbi.nlm.nih.gov]

After infection starts to set in, symptoms worsen and include: High fever Rigors (chills and shivering) Swollen lymph nodes in the neck Joint pain Complications can lead to: Lung abscess Brain abscess Kidney failure Septic shock Acute respiratory distress [clicks.co.za]

failure Liver failure Abscesses in the spleen Pockets of infection in the muscle and skin Meningitis Brain abscesses Diagnosis Lemierre's syndrome is diagnosed through blood tests that identify the bacteria causing the observed symptoms. [everydayhealth.com]

A 76-year-old Japanese male presenting with high fever, headache, and disturbance of consciousness was hospitalized. [ncbi.nlm.nih.gov]

Some cases will also present with meningitis, which will typically manifest as neck stiffness, headache and sensitivity of the eyes to light. [en.wikipedia.org]

The latter usually appears with nonspecific symptoms, the most common being frontal headache. 4 The culture was positive for S. viridans. Thrombosis/occlusion of the internal carotid artery is a very rare complication. [elsevier.es]

We report a case of a 6-year-old boy, who presented with fever and headache with a history of sore throat. [hindawi.com]

CASE REPORT A 34-year-old housewife presented with a short history of fever, and headache for 20 days; odynophagia, neck pain, right sided facial swelling for 10 days; and hemoptysis for five days. [ijcasereportsandimages.com]

Each of these had varied presentations and neurologic complications-one developed 9th to 12th cranial nerve palsies and Horner syndrome, which have not been described in previous literature, and the other developed polyneuropathy and a frontal lobe infarct [ncbi.nlm.nih.gov]

Each of these had varied presentations and neurologic complications—one developed 9th to 12th cranial nerve palsies and Horner syndrome, which have not been described in previous literature, and the other developed polyneuropathy and a frontal lobe infarct [doi.org]

Her hospital course was complicated by a middle cerebral artery distribution infarction and subsequent hemorrhagic conversion with generalized tonic clonic seizures managed by levetiracetam. [ncbi.nlm.nih.gov]

Abstract Lemierre syndrome is usually caused by Fusobacterium necrophorum, but we recently encountered a case due to methicillin-resistant Staphylococcus aureus and complicated by sigmoid sinus thrombosis and cranial neuropathies. [ncbi.nlm.nih.gov]

Ten days into her hospital stay, she developed pericardial tamponade, and cardiac surgery performed a pericardial window for loculated, purulent pericardial effusion. [ncbi.nlm.nih.gov]