{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T15:14:36Z","timestamp":1788275676578,"version":"build-2803163510"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Lemierre-like syndrome, an atypical variant of Lemierre\u2019s syndrome, is characterised by septic thrombophlebitis without classical features and may be complicated by descending necrotising mediastinitis (DNM). Contrast-enhanced computed tomography revealed extensive thrombosis of the right internal jugular, external jugular, and subclavian veins, along with multiple cervical and mediastinal abscesses, consistent with DNM. A cystic lesion in the right upper lobe suggested a lung abscess. Emergency cervical drainage was performed, followed by thoracoscopic mediastinal drainage. Communication between the mediastinal and pulmonary abscess cavities was identified intraoperatively. As no air leak was detected during a 20 cmH\u2082O leak test, pulmonary resection was avoided. Methicillin-susceptible Staphylococcus aureus was isolated, and the patient recovered with antibiotics and anticoagulants. The patient remained recurrence-free for 7 months. Careful intraoperative assessment may allow successful management without resection in selected cases of mediastinal\u2013pulmonary communication.<\/jats:p>","DOI":"10.1093\/icvts\/ivag242","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T14:43:48Z","timestamp":1788273828000},"source":"Crossref","is-referenced-by-count":0,"title":["A case of Lemierre-like syndrome with mediastinal\u2013pulmonary communication managed without lung resection"],"prefix":"10.1093","author":[{"given":"Sotaro","family":"Takemura","sequence":"first","affiliation":[{"name":"Hakodate Goryoukaku Hospital Department of Thoracic Surgery, , Hakodate,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoki","family":"Keiya","sequence":"additional","affiliation":[{"name":"Sapporo Medical University School of Medicine Department of Thoracic Surgery, , Sapporo,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirofumi","family":"Uehara","sequence":"additional","affiliation":[{"name":"Hakodate Goryoukaku Hospital Department of Thoracic Surgery, , Hakodate,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Miyajima","sequence":"additional","affiliation":[{"name":"Sapporo Medical University School of Medicine Department of Thoracic Surgery, , Sapporo,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,1]]},"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivag242\/70894350\/ivag242.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivag242\/70894350\/ivag242.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T14:43:49Z","timestamp":1788273829000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article\/doi\/10.1093\/icvts\/ivag242\/8778554"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivag242","relation":{},"ISSN":["2753-670X"],"issn-type":[{"value":"2753-670X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]},"article-number":"ivag242"}}