{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:04:28Z","timestamp":1787018668682,"version":"build-2736575974"},"reference-count":16,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T00:00:00Z","timestamp":1702252800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>This case report illustrates a unique presentation of Lemierre\u2019s syndrome precipitated by Fusobacterium necrophorum. This case report describes a 20-year-old patient who developed Lemierre\u2019s syndrome secondary to a shoulder hematoma and neck abscess with multiple systemic complications in the absence of tonsillitis or oropharyngeal infection. Two weeks prior to presentation, the patient sustained a right shoulder injury and contracted COVID-19. Due to his Lemierre\u2019s syndrome, he developed right internal jugular vein and subclavian vein thrombosis, septic lung emboli, right sided Horner\u2019s syndrome, disseminated intravascular coagulation, pelvic collection, septic arthritis of pubic symphysis and osteomyelitis of the right pubic bone, and proximal left femoral shaft. The patient received non-operative and operative management to manage his Lemierre\u2019s syndrome including surgical drainage, antibiotics, and anticoagulation; he was discharged following an extended hospital stay. This case report highlights a rare presentation of Lemierre\u2019s syndrome secondary to a shoulder hematoma in a COVID-19 positive patient, and its potential systemic and life-threatening complications. Its importance is highly relevant in the context of the COVID-19 pandemic. Further studies are warranted to explore the effect of preceding COVID-19 infections on the microbiological profile in Lemierre\u2019s syndrome.<\/jats:p>","DOI":"10.1177\/01455613231215166","type":"journal-article","created":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T06:37:31Z","timestamp":1702276651000},"page":"125S-129S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Lemierre\u2019s Syndrome Secondary to Shoulder Hematoma Complicated by COVID-19: A Case Report"],"prefix":"10.1177","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5465-7660","authenticated-orcid":false,"given":"Shivanchan","family":"Rajmohan","sequence":"first","affiliation":[{"name":"ENT Department, Royal Surrey County Hospital, Guildford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuanyu","family":"Gao","sequence":"additional","affiliation":[{"name":"ENT Department, Royal Surrey County Hospital, Guildford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Chacon Garcia","sequence":"additional","affiliation":[{"name":"ENT Department, Royal Surrey County Hospital, Guildford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Miglior","sequence":"additional","affiliation":[{"name":"ENT Department, Royal Surrey County Hospital, Guildford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Pitkin","sequence":"additional","affiliation":[{"name":"ENT Department, Royal Surrey County Hospital, Guildford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,12,11]]},"reference":[{"key":"bibr1-01455613231215166","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20542"},{"key":"bibr2-01455613231215166","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2003.014274"},{"key":"bibr3-01455613231215166","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1616068"},{"key":"bibr4-01455613231215166","doi-asserted-by":"publisher","DOI":"10.2147\/IDR.S95050"},{"key":"bibr5-01455613231215166","first-page":"393","volume":"12","author":"COURMONT P","year":"1900","journal-title":"Arch Med Exp Anat Pathol"},{"key":"bibr6-01455613231215166","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)57035-4"},{"key":"bibr7-01455613231215166","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000000570"},{"key":"bibr8-01455613231215166","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.933587"},{"key":"bibr9-01455613231215166","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjid.2012.11.010"},{"key":"bibr10-01455613231215166","doi-asserted-by":"publisher","DOI":"10.1002\/jgf2.293"},{"key":"bibr11-01455613231215166","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00086-12"},{"key":"bibr12-01455613231215166","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.45.4.1238-1243.2001"},{"key":"bibr13-01455613231215166","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.46.9.2908-2913.2002"},{"key":"bibr14-01455613231215166","doi-asserted-by":"publisher","DOI":"10.1080\/1120009X.2018.1554992"},{"key":"bibr15-01455613231215166","doi-asserted-by":"publisher","DOI":"10.1186\/s12959-021-00336-0"},{"key":"bibr16-01455613231215166","doi-asserted-by":"publisher","DOI":"10.2174\/1874306401206010014"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613231215166","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613231215166","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613231215166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:34:28Z","timestamp":1777401268000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613231215166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,11]]},"references-count":16,"journal-issue":{"issue":"1_suppl","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1177\/01455613231215166"],"URL":"https:\/\/doi.org\/10.1177\/01455613231215166","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,11]]}}}