• J Assoc Physicians India · Oct 2013

    Case Reports

    The 'forgotten disease' (or the never known).

    • K A Sudarshana Murthy, T Thippeswamy, H S Kiran, C R Venkatesh, S Harsha, T Shivaram Shetty, and Akash Shukla.
    • J Assoc Physicians India. 2013 Oct 1;61(10):754-7.

    AbstractLemierre's syndrome is an acute oropharyngeal infection with secondary septic thrombophlebitis of the internal jugular vein and frequent metastatic infections. Despite its rarity, it is important to have a high degree of clinical suspicion to recognise it early. A history of sore throat followed by metastatic infections and abscesses should alert the clinician to the possibility of this unusual infection. We present a case of Lemierre's syndrome presenting with meningitis in a previously healthy young adult along with a review of the pathophysiology of necrobacillosis and its diagnosis, diagnostic difficulty and treatment.

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