Carcinoma of the tongue accounts for 35% of squamous cell carcinomas of the oral cavity. Metastases to regional lymph nodes are common and subclinical nodal metastases may be found in up to 30% of T1 and T2 oral tongue carcinoma. For distant metastases, it normally metastasises to the lung, bones and liver. We report a case of a 34-year-old lady who initially presented with a T2N1MO carcinoma of the tongue that was treated by surgery and chemotherapy. After 1.5 years, she developed multiple meta- static skin lesions.

Lemierre syndrome is an uncommon disease which commonly arise from acute bacterial oropharyngeal infection. This disease was first described in 1900 by Courmont and Cade Lemierre. It is commonly caused by Fusobacterium necrophorum1. Lemierre syndrome has been reported to be serious and potentially fatal in the preantibiotic era1. It is characterized by an oropharyngeal infection leading to secondary septic thrombophlebitis of the internal jugular vein with embolization to the lungs and other organs. The incidence has become relatively rare at present and is usually only diagnosed when unsuspected culture results are available1. We report a case of Lemierre syndrome which was recently diagnosed in our centre.