Lemierre's syndrome with fourth nerve palsy.

Journal Article (Journal Article)

Lemierre's syndrome is characterized by acute oropharyngeal infection with secondary internal jugular vein thrombophlebitis and subsequent metastatic infections. The anaerobe Fusobacterium necrophorum is the usual etiologic agent, although other microorganisms, including Streptococcus, Staphylococcus, Enterococcus, Bacteroides, and Lactobacilli, may be present alone or in combination with F. necrophorum. Common sites of metastatic infection include the lungs and joints. Thromboembolic complications, such as septic pulmonary embolism, persistent jugular vein occlusion, hepatic abscesses, and nephropathy, may occur. We report a case of Lemierre's syndrome in a 3-year-old Caucasian boy who subsequently presented with manifestations of a fourth (trochlear) nerve palsy.

Full Text

Duke Authors

Cited Authors

  • Lee, S; Rutar, T; Velez, FG; Rosenbaum, AL

Published Date

  • February 2009

Published In

Volume / Issue

  • 13 / 1

Start / End Page

  • 107 - 108

PubMed ID

  • 18930667

Electronic International Standard Serial Number (EISSN)

  • 1528-3933

Digital Object Identifier (DOI)

  • 10.1016/j.jaapos.2008.08.004


  • eng

Conference Location

  • United States