An unusual case of Lemierre syndrome - One pathogen or two?

Lemierre syndrome, or septic thrombophlebitis of the internal jugular vein, is a rare disease that affects healthy young adults following an episode of pharyngitis or other upper respiratory disease. It most commonly involves the anaerobe , a component of normal oral flora. In this report, we present an unusual case of polymicrobial Lemierre syndrome involving both and Group C streptococcus following an episode of pharyngitis and streptococcal toxic shock syndrome.