To the Editor: The April 4 Image in Clinical Medicine by Bhattiand Seville1 is of a man with hematogenous anaerobic osteomyelitis.We would like to add that the combination of a dental infectionwith fusobacterium and subsequent systemic spread is suggestiveof Lemierre's syndrome.
In 1936, Lemierre described 20 patients with "anaerobic septicemia,"18 of whom died.2 Lemierre's syndrome is characterized by aprimary infection of the oropharynx in a young, previously healthyperson that results in septic thrombophlebitis of the ipsilateralinternal jugular vein with fever and disseminated metastaticabscesses. The syndrome occurs in children with otitis media,. . . [Full Text of this Article]
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