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Lemierre syndrome More than "the forgotten disease" A 54-year-old woman presented with fever, spasmodic torticollis, ptosis, and chemosis in her left eye. CT venous angiography revealed cavernous sinus thrombosis (CST) and left internal jugular vein thrombosis (IJVT) (figure, A), cervical MRI detected a retropharyngeal abscess and epidural empyema (figure, B and C), and chest x-ray showed multiple pulmonary opacities (figure, D). The clinical/radiologic picture, due to anaerobic septicemia, was consistent with Lemierre syndrome (LS), the so-called "forgotten disease." 1 Extensive neuroimaging studies are mandatory to detect an abscess in the neck of patients with CST and IJVT for early diagnosis and treatment. LS is still relevant today.

Objectives: To study factors associated with arterial stiffness and early vascular aging.Methods: 523 consecutive patients who visited our hypertension centre were examined. All subjects underwent 24 h Ambulatory Blood Pressure Monitoring (ABPM) and Carotid-femoral (c-f) pulse wave velocity (PWV) measurements. Subjects were overnight fast and avoided smoking. Clinic BP was measured as the average of 6 measurements in two consecutive days. Home BP was estimated according to the ESH guidelines. Waist circumference and BMI were also measured.

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