{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:35:01Z","timestamp":1787016901609,"version":"build-2736575974"},"reference-count":19,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,10,31]]},"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>\n                    A young previously healthy patient presented with sepsis and cavitating pneumonia.\n                    <jats:italic>Campylobacter rectus<\/jats:italic>\n                    was isolated from blood cultures and subsequent CT neck showed an internal jugular vein thrombosis. Treatment was with antibiotics, anticoagulation and supportive management. Lemierre\u2019s syndrome is an infectious thrombophlebitis of the internal jugular vein. Although a rare diagnosis since the use of penicillin for treatment of acute pharyngitis, it is being reported with increasing frequency. Usually associated with\n                    <jats:italic>Fusobacterium<\/jats:italic>\n                    spp, we believe that this is the first reported case of Lemierre\u2019s caused by\n                    <jats:italic>C. rectus\u2014<\/jats:italic>\n                    an anaerobic member of the human oral cavity flora, usually associated with localised periodontal disease. The bacillus was isolated from blood during the acute presentation.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2018-226948","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T17:19:47Z","timestamp":1545153587000},"page":"e226948","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Unusual case of Lemierre\u2019s syndrome"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4478-1721","authenticated-orcid":false,"given":"Issrah I","family":"Jawad","sequence":"first","affiliation":[{"name":"Infectious Diseases, University College London Hospitals NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjun","family":"Chandna","sequence":"additional","affiliation":[{"name":"Microbiology, University College London Hospitals NHS Foundation Trust, London, 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