Fusobacterium septicemia complicated by cerebral subdural and epidural empyemas: A rare case of lemierre syndrome

Hao Wen Teng, Chia Yuen Chen, Huan Chieh Chen, Wen Ting Chung, Wen Sen Lee

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9 Citations (Scopus)


Background: Lemierre syndrome is characterized by postanginal septicemia and internal jugular vein thrombophlebitis with secondary septic emboli, typically to the lungs. The central nervous system (CNS) is rarely involved. Objective: To present a case of Lemierre syndrome featuring cerebral subdural and epidural empyemas. Case Report: This case report describes the case of a 17-year-old youth with cerebral subdural and epidural empyemas. The findings of chest computed tomography of the neck and the blood cultures were compatible with Lemierre syndrome. The patient recovered well after antibiotic treatment and surgical debridement. Conclusion: Lemierre syndrome can result in infection spreading to the CNS, including cerebral subdural and epidural empyemas. This disease entity should be included in the differential diagnoses of CNS bacterial infections.

Original languageEnglish
Pages (from-to)671-673
Number of pages3
JournalJournal of Emergency Medicine
Issue number4
Publication statusPublished - Oct 2012



  • central nervous system
  • epidural empyema
  • internal jugular vein thrombophlebitis
  • Lemierre syndrome
  • subdural empyema

ASJC Scopus subject areas

  • Emergency Medicine

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