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Treatment of Lemierre's syndrome is high-dose parenteral antibiotics directed against anaerobes (clindamycin, metronidazole, chloramphenicol, imipenem, or cefodizime). Prolonged therapy is recommended because of the endovascular nature of the infection. Ligation or excision of the internal jugular vein is frequently required, and drainage of other abscesses may be necessary.

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