Once coined the "Forgotten Disease," Lemierre's syndrome is a rare condition 
that results from oropharyngeal infection with the gram-negative, anaerobic 
Fusobacterium necrophorum. The typical progression of illness involves spread to 
adjacent structures such as the internal jugular vein with resulting 
thrombophlebitis. Septic emboli to distant sites are also a common sequela. 
Here, we present a case of Lemierre's syndrome in a 20-year-old, otherwise 
healthy, male. The patient presented with fever, sore throat, and dysphagia. 
Imaging revealed peritonsillar multiloculated fluid collections and necrotizing 
pneumonia with multiple pulmonary abscesses. The patient's hospital course was 
complicated by the development of necrotizing fasciitis in his right lower leg, 
which required incision and drainage with surgical washout. In addition to 
systemic intravenous antibiotics and anticoagulation, he underwent multiple 
thoracentesis procedures. The patient was ultimately transferred to a tertiary 
care center due to persistent fevers and lung abscesses. This case highlights 
the challenges of initial diagnosis, as well as the treatment choices faced by 
the attending physicians.