{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T10:36:27Z","timestamp":1766486187272,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,3,24]]},"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>A healthy man in his late 20s was admitted to the emergency department due to a flare-up in his severe chronic stomatitis, along with flu-like symptoms. CXR showed multiple bilateral consolidations and subsequent CT revealed thrombosis of the left facial and internal jugular vein, together with septic embolism in both lungs. Blood cultures showed penicillin-susceptible <jats:italic>Staphylococcus aureus<\/jats:italic>. The patient was diagnosed with Lemierre\u2019s syndrome, despite atypical bacteria and clinical presentation. During hospitalisation, he developed pulmonary empyema as a complication and was admitted for 4\u2009weeks. During hospitalisation and after discharge, the patient was examined for multiple rheumatic, immunological and dermatological diseases, but no underlying cause for Lemierre\u2019s syndrome has been found. We present this case due to the rarity of its nature, with atypical clinical presentation and pathogen for Lemierre\u2019s syndrome, but with classic radiological findings.<\/jats:p>","DOI":"10.1136\/bcr-2023-258776","type":"journal-article","created":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T01:55:25Z","timestamp":1712109325000},"page":"e258776","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Atypical presentation of Lemierre\u2019s syndrome caused by penicillin-susceptible <i>Staphylococcus aureus<\/i> in a patient with chronic stomatitis and COVID-19"],"prefix":"10.1136","volume":"17","author":[{"given":"Emma","family":"Burgdorf","sequence":"first","affiliation":[{"name":"Department of Radiology, Odense Universitetshospital, Odense, Syddanmark, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janni","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Radiology, Odense Universitetshospital, Odense, Syddanmark, Denmark"},{"name":"Research and Innovation Unit of Radiology, University of Southern Denmark, Odense, Syddanmark, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0927-4609","authenticated-orcid":false,"given":"Peter","family":"Grimm","sequence":"additional","affiliation":[{"name":"Department of Radiology, Odense Universitetshospital, Odense, Syddanmark, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"von Huth","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Odense Universitetshospital, Odense, Syddanmark, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,4,2]]},"reference":[{"key":"2025082801481245000_17.4.e258776.1","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-008-0496-4"},{"key":"2025082801481245000_17.4.e258776.2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00011-07"},{"key":"2025082801481245000_17.4.e258776.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmii.2020.03.027"},{"key":"2025082801481245000_17.4.e258776.4","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/S0140-6736(00)57035-4","article-title":"On certain septic\u00e6mias due to anaerobic organisms","volume":"227","author":"Lemierre","year":"1936","journal-title":"The Lancet"},{"key":"2025082801481245000_17.4.e258776.5","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20542"},{"key":"2025082801481245000_17.4.e258776.6","doi-asserted-by":"crossref","DOI":"10.1186\/1750-1172-5-39","article-title":"Toxic epidermal necrolysis and Stevens-Johnson syndrome","volume":"5","author":"Harr","year":"2010","journal-title":"Orphanet J Rare Dis"},{"key":"2025082801481245000_17.4.e258776.7","doi-asserted-by":"crossref","unstructured":"Zou H , Daveluy S . 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