We present a patient with an atypical presentation of Fusobacterium infection, 
the genus responsible for Lemierre's syndrome. This syndrome, which often 
affects healthy, young people and can be fatal if not recognized and treated 
early, is defined as a history of recent oropharyngeal infection with clinical 
or radiological evidence of internal jugular vein thrombosis and isolation of 
anaerobic pathogens, mainly Fusobacterium necrophorum. The history, 
presentation, investigations and management of the patient are described and 
then contrasted with the existing literature surrounding Lemierre's syndrome, 
once termed the 'forgotten disease'.