{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T21:50:22Z","timestamp":1775166622535,"version":"3.50.1"},"reference-count":25,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,5,5]]},"abstract":"<jats:p>We portray the case of a 16-year-old girl who was initially admitted to the paediatric emergency department with non-specific symptoms of a severe cold and was first treated symptomatically on an ambulatory basis. Within 6\u2009days she developed the full clinical picture of Lemierre\u2019s syndrome with the extraordinary manifestation of involvement of her right hip. Despite an interdisciplinary coordinated treatment as well as surgical therapy, a full-blown sepsis evolved within a short time period and resulted in almost 2\u2009months of intensive care. While the primary focus could be successfully controlled, a progressive avascular necrosis of the right proximal femur developed on the basis of a chronic osteomyelitis. This finally led to a pathological fracture of the femoral neck. After excluding the possibility of an enduring bacterial infection, the fracture was treated with a total hip replacement.<\/jats:p>","DOI":"10.1136\/bcr-2016-218474","type":"journal-article","created":{"date-parts":[[2017,5,22]],"date-time":"2017-05-22T23:45:10Z","timestamp":1495496710000},"page":"bcr-2016-218474","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Pathological fracture of the femoral neck following septic coxitis and chronic osteomyelitis: a potential complication of Lemierre\u2019s syndrome"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5398-8089","authenticated-orcid":false,"given":"Dominik Maximilian","family":"Vogt","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Orthop\u00e4die und Unfallchirurgie, Universitatsklinikum Schleswig Holstein - Campus L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludger","family":"T\u00fcshaus","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinderchirurgie, Universitatsklinikum Schleswig Holstein - 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