{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T23:02:38Z","timestamp":1788908558939,"version":"build-2803163510"},"reference-count":16,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,12,19]]},"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>\n                  <jats:italic>Fusobacterium necrophorum<\/jats:italic> is a rare infection most notable for causing Lemierre\u2019s syndrome. This consists of a primary oropharyngeal infection and septic thrombophlebitis, and one or more metastatic focus. Prior to the widespread use of antibiotics, Lemierre\u2019s syndrome commonly followed a rapidly progressing course, with a high mortality. We describe a case of a previously well 18-month-old boy who presented to the emergency department with a 3-week history of progressive, right-sided, painful neck swelling and systemic sepsis. He was initially treated conservatively with intravenous antibiotics, but ultimately required surgical drainage. Lemierre\u2019s syndrome is a rare condition with increasing incidence which can have significant adverse outcomes including death. Early recognition and treatment are essential, but identifying Lemierre\u2019s disease is challenging.<\/jats:p>","DOI":"10.1136\/bcr-2017-222287","type":"journal-article","created":{"date-parts":[[2019,1,30]],"date-time":"2019-01-30T23:08:54Z","timestamp":1548889734000},"page":"e222287","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["<i>Fusobacterium necrophorum<\/i> sepsis after tonsillitis\/pharyngitis"],"prefix":"10.1136","volume":"12","author":[{"given":"Micheal","family":"Sheehan","sequence":"first","affiliation":[{"name":"Emergency Department, Cork University Hospital Group, Cork, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren","family":"McLoughlin","sequence":"additional","affiliation":[{"name":"Emergency Department, Cork University Hospital Group, Cork, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronan","family":"O\u2019Sullivan","sequence":"additional","affiliation":[{"name":"Emergency Department, Cork University Hospital Group, Cork, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,1,29]]},"reference":[{"key":"2025082803561894000_12.1.e222287.1","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1626-2-6397"},{"key":"2025082803561894000_12.1.e222287.2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01708619"},{"key":"2025082803561894000_12.1.e222287.3","doi-asserted-by":"publisher","DOI":"10.1099\/0022-1317-51-3-269"},{"key":"2025082803561894000_12.1.e222287.4","doi-asserted-by":"crossref","unstructured":"Anoop TM , Biju MV , Pappachan JM , et al . 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