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Ogugua C - A case is reported of extensive bilateral septic thrombophlebitis of the deep neck veins secondary to periodontal disease. This is the first case of bilateral Lemierre syndrome due to periodontal disease reported in the literature. It highlights the typical septic thrombophlebitis of Lemierre syndrome and its protean manifestations, such as hepatitis and rhabdomyolysis. This presentation also underscores the significance of thorough dental examinations in febrile patients. With respect to anticoagulation therapy in Lemierre syndrome, though still not established, there is some evidence of utility with no untoward effects.

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