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Case Reports in Infectious Diseases
Volume 2017 (2017), Article ID 5358095, 3 pages
Case Report

Human Infection with Fusobacterium necrophorum without Jugular Venous Thrombosis: A Varied Presentation of Lemierre’s Syndrome

1Critical Care Department, Bahria Town International Hospital, Lahore, Pakistan
2Acute Medicine Department, King’s Mill Hospital, Sutton-in-Ashfield, UK
3Critical Care Department, King Saud Medical City, Riyadh, Saudi Arabia

Correspondence should be addressed to Muhammad Asim Rana

Received 23 April 2017; Accepted 6 September 2017; Published 24 October 2017

Academic Editor: Jean-François Faucher

Copyright © 2017 Muhammad Asim Rana et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Lemierre’s syndrome is also known as postangina septicemia, which is commonly caused by Fusobacterium necrophorum also known as Necrobacillus and also by other microorganisms like Staphylococcus, Streptococcus, Peptostreptococcus, and Bacteroides. Though the disease starts as an upper respiratory tract infection, it may spread and cause thrombophlebitis of the internal jugular vein. It may present itself through cranial nerve palsy or sepsis involving distant organs like the lungs or bones. It is also known as forgotten disease because of its rarity. Fusobacterium necrophorum usually causes infection in animals and rarely affects humans. We hereby present a case of Necrobacillus infection which did not cause any thrombophlebitis but resulted in severe pneumonia and acute kidney injury, leading to respiratory failure and requiring mechanical ventilation.