{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:37:38Z","timestamp":1747190258294,"version":"3.40.5"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T00:00:00Z","timestamp":1584316800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2020,3,16]]},"abstract":"<jats:p>Once coined the \u201cForgotten Disease,\u201d Lemierre\u2019s syndrome is a rare condition that results from oropharyngeal infection with the gram-negative, anaerobic <jats:italic>Fusobacterium necrophorum<\/jats:italic>. The typical progression of illness involves spread to adjacent structures such as the internal jugular vein with resulting thrombophlebitis. Septic emboli to distant sites are also a common sequela. Here, we present a case of Lemierre\u2019s syndrome in a 20-year-old, otherwise healthy, male. The patient presented with fever, sore throat, and dysphagia. Imaging revealed peritonsillar multiloculated fluid collections and necrotizing pneumonia with multiple pulmonary abscesses. The patient\u2019s hospital course was complicated by the development of necrotizing fasciitis in his right lower leg, which required incision and drainage with surgical washout. In addition to systemic intravenous antibiotics and anticoagulation, he underwent multiple thoracentesis procedures. The patient was ultimately transferred to a tertiary care center due to persistent fevers and lung abscesses. This case highlights the challenges of initial diagnosis, as well as the treatment choices faced by the attending physicians.<\/jats:p>","DOI":"10.1155\/2020\/4346937","type":"journal-article","created":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T23:31:48Z","timestamp":1584401508000},"page":"1-4","source":"Crossref","is-referenced-by-count":1,"title":["The Forgotten Disease: A Case of Lemierre\u2019s Syndrome with Distal Extremity Involvement"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3147-5087","authenticated-orcid":true,"given":"John","family":"Gaskill","sequence":"first","affiliation":[{"name":"Lewis-Gale Hospital Montgomery, 3700 South Main St., Blacksburg, VA 24060, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Aronson","sequence":"additional","affiliation":[{"name":"Lewis-Gale Hospital Montgomery, 3700 South Main St., Blacksburg, VA 24060, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(00)57035-4"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2003.014274"},{"key":"3","first-page":"384","volume":"8","year":"1995","journal-title":"The Journal of the American Board of Family Practice"},{"year":"2015","key":"4"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/11.2.319"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-200211000-00006"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1086\/313970"},{"issue":"8","key":"8","first-page":"561","volume":"17","year":"1998","journal-title":"European Journal of Clinical Microbiology and Infectious Diseases"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20542"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1099\/0022-1317-51-3-269"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199306000-00014"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/5469053"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1336828"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1182\/blood.v126.23.2296.2296"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2020\/4346937.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2020\/4346937.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2020\/4346937.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T23:31:50Z","timestamp":1584401510000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criid\/2020\/4346937\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,16]]},"references-count":14,"alternative-id":["4346937","4346937"],"URL":"https:\/\/doi.org\/10.1155\/2020\/4346937","relation":{},"ISSN":["2090-6625","2090-6633"],"issn-type":[{"type":"print","value":"2090-6625"},{"type":"electronic","value":"2090-6633"}],"subject":[],"published":{"date-parts":[[2020,3,16]]}}}