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“My back is killing me”
  1. F Garnham,
  2. P Longstaff
  1. Chelsea and Westminster Hospital, London, UK
  1. Correspondence to:
 Dr F Garnham
 Chelsea and Westminster Hospital, London SW10 9NH, UK;


This is a case of a rare cause of back pain that presented to several clinicians before the diagnosis became obvious and the correct management was initiated. Lemierre’s syndrome was confirmed at post mortem examination. We conclude that thoracic back pain should not be assumed to have a simple mechanical cause and that efforts should be made to discover the underlying aetiology.

  • A&E, accident and emergency
  • BP, blood pressure
  • HR, heart rate
  • RR, respiration rate
  • Fusobacterium necrophorum
  • Lemierre
  • post anginal sepsis

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  • Competing interests: none declared