{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T15:59:43Z","timestamp":1765382383083,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,9,3]]},"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:p>A young woman in her 20s presented with fever, abdominal pain and malodourous vaginal discharge. She was found to be in septic shock, in the setting of a recent medical abortion with subsequent intrauterine device placement. Her blood cultures grew <jats:italic>Fusobacterium necrophorum<\/jats:italic>. Despite appropriate antibiotic therapy, the fever failed to defervesce. Subsequent evaluation revealed septic thrombophlebitis of the right gonadal vein and branches of the right iliac vein. She improved with a prolonged course of targeted antimicrobial therapy.<\/jats:p>","DOI":"10.1136\/bcr-2022-250097","type":"journal-article","created":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T10:50:13Z","timestamp":1665658213000},"page":"e250097","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Myometritis with pelvic septic vein thrombophlebitis secondary to <i>Fusobacterium necrophorum<\/i> sepsis"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3238-5270","authenticated-orcid":false,"given":"Kalarickad Maria","family":"Koshy","sequence":"first","affiliation":[{"name":"Internal Medicine, Yale New Haven Health, Bridgeport, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3701-0662","authenticated-orcid":false,"given":"Waleed","family":"Malik","sequence":"additional","affiliation":[{"name":"Infectious Diseases, Yale School of Medicine, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott C","family":"Roberts","sequence":"additional","affiliation":[{"name":"Infectious Diseases, Yale School of Medicine, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,10,13]]},"reference":[{"key":"2025082713194359000_15.10.e250097.1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00011-07"},{"key":"2025082713194359000_15.10.e250097.2","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1111\/joim.13114","article-title":"Patients with Lemierre syndrome have a high risk of new thromboembolic complications, clinical sequelae and death: an analysis of 712 cases","volume":"289","author":"Valerio","year":"2021","journal-title":"J Intern Med"},{"key":"2025082713194359000_15.10.e250097.3","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1017\/S0950268812000660","article-title":"Epidemiology and clinical outcomes of patients with Fusobacterium bacteraemia","volume":"141","author":"Goldberg","year":"2013","journal-title":"Epidemiol Infect"},{"key":"2025082713194359000_15.10.e250097.4","first-page":"805","article-title":"Lemierre\u2019s syndrome due to Fusobacterium necrophorum","volume":"12","author":"Kuppali","year":"2012","journal-title":"Lancet Infect Dis"},{"key":"2025082713194359000_15.10.e250097.5","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1002\/ccr3.62","article-title":"Lemierre's syndrome after evacuation of the uterus: a case report","volume":"2","author":"Hedengran","year":"2014","journal-title":"Clin Case Rep"},{"key":"2025082713194359000_15.10.e250097.6","first-page":"202","article-title":"[Septic shock Fusobacterium necrophorum from origin gynecological at complicated an acute respiratory distress syndrome: a variant of Lemierre's syndrome]","volume":"69","author":"Huynh-Moynot","year":"2011","journal-title":"Ann Biol Clin"},{"key":"2025082713194359000_15.10.e250097.7","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1002\/ijgo.12760","article-title":"Fusobacterium necrophorum septic pelvic thrombophlebitis after intrauterine device insertion","volume":"145","author":"Yamamoto","year":"2019","journal-title":"Int J Gynaecol Obstet"},{"key":"2025082713194359000_15.10.e250097.8","doi-asserted-by":"crossref","DOI":"10.1186\/s12879-019-4538-6","article-title":"Atypical presentation of Lemierre's syndrome: case report and literature review","volume":"19","author":"Laurencet","year":"2019","journal-title":"BMC Infect Dis"},{"key":"2025082713194359000_15.10.e250097.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2011.03574.x"},{"key":"2025082713194359000_15.10.e250097.10","doi-asserted-by":"publisher","DOI":"10.1007\/s11908-000-0030-z"},{"key":"2025082713194359000_15.10.e250097.11","doi-asserted-by":"crossref","DOI":"10.1093\/ofid\/ofaa585","article-title":"Jugular Vein Thrombosis and Anticoagulation Therapy in Lemierre's Syndrome-A Post Hoc Observational and Population-Based Study of 82 Patients","volume":"8","author":"Nygren","year":"2021","journal-title":"Open Forum Infect Dis"},{"key":"2025082713194359000_15.10.e250097.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(99)70450-3"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-250097","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:19:48Z","timestamp":1756325988000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-250097"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":12,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,10,13]]},"published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1136\/bcr-2022-250097"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-250097","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}