“Rare Presentation of Lemierre Syndrome in an 84-Year-Old Man”:A Case Report

Abstract

Lemierre’s syndrome (LS) is a rare but severe complication of bacterial pharyngitis or tonsillitis, often caused by Fusobacterium necrophorum, leading to septic thrombophlebitis of the internal jugular vein and distant septic emboli. Though typically affecting young adults, we present a case of an 84-year-old man with multiple comorbidities, including dementia and coronary artery disease, who developed LS. Despite treatment with intravenous antibiotics, his condition deteriorated, resulting in gram-positive septicemia and death. This case highlights the potential for LS to affect older populations with significant comorbidities, underscoring the importance of clinical vigilance and prompt management.