A rare case of painful swelling in the neck in a middle aged uncontrolled diabetic male

Abstract

Lemierre’s syndrome: More than a historic curiosa a prepenicillin era illnees characterized by disseminated abscess and thrombophlebiltis of internal jugular vein after infection of the oropharynx. The predominant pathogen is a gram -ve anaerobic bacillus Fusobacterium necrophorum. A prompt clinical diagnosis is of utmost importance for a favourable prognosis in the management of this patient. Here we present a case of lemierre syndrome in a middle aged uncontrolled diabetic male where the unusual and atypical clinical manifestation posed a mounting challenge in the diagnosis of this case. And the peculiarity in this case was that the causative organism was Klebsiella pneumoniae which is not known to cause Lemierre’s syndrome typically. Till date only few other cases has been reported where the organism was Klebsiella pneumonae.