INTRODUCTION: Like Fusobacterium necrophorum, Fusobacterium nucleatum is capable 
causing Lemierre's syndrome. Various locations of venous thrombosis have been 
described associated with Fusobacterium sp. septicemia.
EXEGESIS: We describe a 43-year old alcoholic patient with F.nucleatum 
septicemia complicated with hepatic abscesses, middle hepatic venous thrombosis, 
osteomyelitis and infiltrative pneumonia. A pancreatic prosthesis was the only 
potentially identified infectious entrance.
CONCLUSION: Our patient showed an alternative presentation of Lemierre's 
syndrome, a "digestive variant". To the best of our knowledge, this is the first 
report of Fusobacterium septicemia associated with hepatic venous thrombosis. 
This report is close to the cases of portal thrombosis and opens the clinical 
sphere of the lemierre's syndrome, whose incidence is increasing.