{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:35:05Z","timestamp":1786977305396,"version":"build-2736575974"},"reference-count":17,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T00:00:00Z","timestamp":1702425600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Key Clinical Message<\/jats:title>\n                    <jats:p>We describe a patient who lost her vision because of Lemierre's syndrome. Ophthalmologic complications of Lemierre's syndrome are rare, and very few cases have been reported. Clinicians need to recognize that it is a serious condition that can lead to blindness in some cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>\n                      Lemierre's syndrome is a systemic septic embolism resulting from thrombophlebitis of the internal jugular vein. We report a case of blindness caused by Lemierre's syndrome, despite prompt diagnosis and early treatment. A 36\u2010year\u2010old woman was transported to our hospital. She presented with fever, facial swelling, and right visual acuity deterioration. Contrast\u2010enhanced computed tomography revealed a retropharyngeal abscess and right internal jugular vein thrombosis. Blood culture revealed\n                      <jats:italic>Fusobacterium necrophorum<\/jats:italic>\n                      , suggesting Lemierre's syndrome. The patient had septic shock and disseminated intravascular coagulation. We diagnosed her visual impairment as orbital\u2010apex syndrome due to spread of inflammation. After 6\u2009weeks of antimicrobial drug treatments, her general condition had improved, and the retropharyngeal abscess had disappeared. On Day 49 of her illness, she was transferred to a rehabilitation hospital, but her visual acuity was not restored. Clinicians should be aware that Lemierre's syndrome can, although rarely, cause blindness.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccr3.8327","type":"journal-article","created":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T07:45:13Z","timestamp":1702453513000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A case of blindness caused by Lemierre's syndrome"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6154-5775","authenticated-orcid":false,"given":"Tensei","family":"Suzuki","sequence":"first","affiliation":[{"name":"Emergency and Critical Care Medicine Tokyo Women's Medical University Adachi Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuaki","family":"Kojima","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Medicine Tokyo Women's Medical University Adachi Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raira","family":"Nakamoto","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Medicine Tokyo Women's Medical University Adachi Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiichi","family":"Kuriyama","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Medicine Tokyo Women's Medical University Adachi Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu","family":"Tanizawa","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Medicine Tokyo Women's Medical University Adachi Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuzuru","family":"Mochida","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Medicine Tokyo Women's Medical University Adachi Medical 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