• Int. J. Pediatr. Otorhinolaryngol. · Sep 2013

    Review Case Reports

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

    • Kerstin Blessing, Nicole Toepfner, Susanne Kinzer, Cornelia Möllmann, Julia Geiger, Annerose Serr, Markus Hufnagel, Christoph Müller, Marcus Krüger, Gerd J Ridder, and Reinhard Berner.
    • Centre for Pediatrics and Adolescent Medicine, University Hospital Freiburg, Germany. kerstin.blessing@uniklinik-freiburg.de
    • Int. J. Pediatr. Otorhinolaryngol. 2013 Sep 1;77(9):1585-8.

    AbstractSince 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.Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

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