Lemierre Syndrome: Often Overlooked

Abstract

Abstract Lemierre syndrome is an uncommon, emergent medical condition that is characterized by suppurative thrombophlebitis of the internal jugular vein, usually after a bacterial oropharyngeal infection. Although the incidence had nearly disappeared since the advent of antibiotics, there has been a resurgence of the diagnosis. Fusobacterium necrophorum is the most common causative pathogen, although others have been associated. Lemierre syndrome must be identified early and treated appropriately to reduce patient morbidity and mortality. The nurse practitioner should consider this diagnosis in all young, previously healthy patients who present with worsening sore throat and fever despite treatment with antibiotics.