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Emergency Medicine Journal 2009;26:749; doi:10.1136/emj.2008.066282
© 2009 BMJ Publishing Group Ltd and the College of Emergency Medicine.

EMERGENCY CASEBOOKS

A vanishing disease can still happen

H K Ramadan

Correspondence to:
Correspondence to DrH KRamadan, Respiratory Department, Royal Hampshire County Hospital, Winchester SO22 5DG, UK; hkhk00{at}hotmail.com

ABSTRACT

Lemierre’s syndrome is a rare disease in the antibiotic era which is characterised by oropharyngitis, thrombophlebitis and septic metastases, but it can still occur and early recognition of its characteristic features and commencement of appropriate treatment can be life saving. The case history is described of a middle-aged man with Lemierre’s syndrome who made an uneventful recovery following treatment with co-amoxiclav and metronidazole for 6 weeks.


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