Below is an instruction from Human. Write a response.
    ### Instruction:
    What are the symptoms of Lemierre syndrome ?
    ### Response:
    What are the symptoms reported in children who have Lemierre syndrome? In children and adolescents, Lemierre syndrome usually begins with a severe sore throat, persistent fever, and possibly chills. Some cases begin with acute otitis media. As the syndrome progresses, there is neck pain and tender swelling along the internal jugular vein.
    