{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:37:39Z","timestamp":1787017059148,"version":"build-2736575974"},"reference-count":15,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,6,15]]},"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>\n                    A 29-year-old Dominican man with a history of intravenous heroin use and hepatitis C presented with a 5-day history of fever, dyspnoea, haemoptysis, pleuritic chest pain, abdominal pain, haematochezia and haematemesis. Initial physical examination was significant for scleral icterus, generalised abdominal tenderness to palpation, melaena and blood-tinged sputum. Blood cultures grew\n                    <jats:italic>Fusobacterium<\/jats:italic>\n                    species. CT scan of the chest revealed multiple\n                    <jats:italic>bilateral<\/jats:italic>\n                    cavitary features in lung fields. At the same time, a neck ultrasound performed demonstrated thrombophlebitis in the right internal jugular vein, confirming the diagnosis of \u2018Lemierre\u2019s syndrome\u2019. Treatment was with antibiotics and supportive care for 6 weeks.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2020-235390","type":"journal-article","created":{"date-parts":[[2020,7,6]],"date-time":"2020-07-06T02:05:19Z","timestamp":1594001119000},"page":"e235390","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Lemierre\u2019s syndrome in an intravenous drug user"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4755-7012","authenticated-orcid":false,"given":"Daniel","family":"Fernandez","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Wright Center for Graduate Medical Education, Scranton, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirza","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Wright Center for Graduate Medical Education, Scranton, Pennsylvania, 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