ArticleBMJ case reports2015
Clival osteomyelitis and hypoglossal nerve palsy--rare complications of Lemierre's syndrome.
Article in BMJ case reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 28 citations in OpenAlex.
- Skull base osteomyelitis and cranio-cervical junction instability as long-term sequelae of Lemierre syndrome: A case report.IDCases · 2026Article
- Hypoglossal nerve palsy in infectious mononucleosis and Fusobacterium necrophorum tonsillitis: a case report and literature review.Italian journal of pediatrics · 2025Review
- Case report: Metagenomics next-generation sequencing in the diagnosis of septic shock due toFrontiers in cellular and infection microbiology · 2024Article
- Isolated hypoglossal nerve neuropathy in vertebral dolichoectasia: Microvascular decompression by vessel transposition with Teflon cuff.Surgical neurology international · 2022Article
- Lemierre's Syndrome Due to Malignant Otitis Externa: Imaging Studies Revealed Its Systemic Dissemination.The journal of international advanced otology · 2021Article
- A rare life-threatening complication of acute mastoiditis: Case report and literature review.Clinical case reports · 2021Article
- Erosion of the sella turcica and pituitary expansion secondary to polymicrobial brain abscesses: a case report.Access microbiology · 2021Article
- Cavernous sinus thrombosis caused byAmerican journal of ophthalmology case reports · 2020Article
- Misdiagnosis: Hypoglossal palsy mimicking bulbar onset amyotrophic lateral sclerosis.eNeurologicalSci · 2019Article
- Clival Osteomyelitis with Cavernous Sinus Thrombosis Due to Fusobacterium nucleatum and Campylobacter rectus Induced by Tooth Extraction.Internal medicine (Tokyo, Japan) · 2018Article
- A Comprehensive Review of Skull Base Osteomyelitis: Diagnostic and Therapeutic Challenges among Various Presentations.Asian journal of neurosurgeryReview
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
An increasingly reported entity, Lemierre's syndrome classically presents with a recent oropharyngeal infection, internal jugular vein thrombosis and the presence of anaerobic organisms such as Fusobacterium necrophorum. The authors report a normally fit and well 17-year-old boy who presented with severe sepsis following a 5-day history of a sore throat, myalgia and neck stiffness requiring intensive care admission. Blood cultures grew F. necrophorum and radiological investigations demonstrated left internal jugular vein, cavernous sinus and sigmoid sinus thrombus, left vertebral artery dissection and thrombus within the left internal carotid artery. Imaging also revealed two areas of acute ischaemia in the brain, consistent with septic emboli, skull base (clival) osteomyelitis and an extensive epidural abscess. The patient improved on meropenem and metronidazole and was warfarinised for his cavernous sinus thrombosis. He has an on-going left-sided hypoglossal (XIIth) nerve palsy.
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