Lemierre syndrome associated with 12th cranial nerve palsy—A case report and review

Abstract Since 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.