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Int J Pediatr Otorhinolaryngol. 2013 Sep;77(9):1585-8. doi: 10.1016/j.ijporl.2013.05.030. Epub 2013 Jul 8.

Lemierre syndrome associated with 12th cranial nerve palsy--a case report and review.

Author information

1
Centre for Pediatrics and Adolescent Medicine, University Hospital Freiburg, Germany. kerstin.blessing@uniklinik-freiburg.de

Abstract

Since the widespread availability and use of antibiotics the prevalence of Lemierre syndrome (L.S.) has decreased. It is a well-described entity, consisting of postanginal septicaemia with thrombophlebitis of the internal jugular vein with metastatic infection, most commonly in the lungs. The most common causative agent is a gram-negative, non-spore-forming obligate anaerobic bacterium, Fusobacterium necrophorum (F.n.). We describe the unusual clinical features of a 12-year-old boy with Lemierre syndrome with isolated hypoglossal nerve palsy - the latter symptom is an extremely rare manifestation of this disease.

KEYWORDS:

Fusobacterium necrophorum; Lemierre syndrome; Postanginal septicaemia; Septic emboli; Thrombophlebitis

PMID:
23845534
DOI:
10.1016/j.ijporl.2013.05.030
[Indexed for MEDLINE]

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