The literature review demonstrated that 31% of all cases did not have thrombosis of the IJV, however there were only 3/78 (4%) of cases with no associated thrombosis. Therefore thrombosis in the presence of fusobacterial Selleck OICR-9429 bacteraemia would be a more appropriate diagnostic criterion than defining the disease by specific SIS3 price anatomically located thromboses.

In the context of the literature our case was unusual in that it demonstrated unique anatomical variation of the metastases and required surgery as the primary modality of treatment. Our patient did not have any pulmonary metastases which some authors have argued is a key diagnostic criterion for Lemierre’s syndrome [5]. However, our literature review has demonstrated that 30% DZNeP mouse of the cases had no pulmonary involvement. In view of this fact the authors support Riordan’s suggestion that Lemierre’s Syndrome should be reconstituted as fusobacterium necrophorum sepsis, however with the additional diagnostic criterion of the presence of thrombosis. It would seem that the septic metastases are a common complication of the syndrome with huge anatomical variation and as such are not essential to diagnose the condition. Consent Written informed consent was obtained from the patient for publication of this Case report and any accompanying images. A copy of the written consent is available

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