Lemierre's syndrome is a systemic complication commonly caused by oropharyngeal 
infection by Fusobacterium species, which manifests itself as an internal 
jugular vein thrombosis formation. It is a rare occurrence nowadays with the 
availability of broad spectrum antibiotics for treatment. Most cases in the 
literature presented with a life-threatening condition. We are reporting a case 
of Lemierre's syndrome that presented with persistent neck pain and swelling, 
initially diagnosed as cervical lymphadenitis.