{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T12:38:48Z","timestamp":1770813528973,"version":"3.50.1"},"reference-count":3,"publisher":"IMR Press","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hospital Medicine"],"published-print":{"date-parts":[[2000,11]]},"abstract":"<jats:p>A52-year-old farmer presented with a 1-week history of fever, rigors and myalgia. Three days before admission he had developed pleuritic left-sided chest pain. Clinical examination revealed a temperature of 38.4\u00b0C and bibasal pulmonary crepitations. Chest radiograph showed an area of patchy pulmonary opacity at the left lung base and a few small areas of opacity in the right lung. A presumptive diagnosis of pneumonia was made. Blood cultures subsequently grew Staphylococcus aureus and treatment with intravenous flucloxacillin was commenced. No other focus of infection was found, investigations included normal transthoracic echocardiogram and abdominal ultrasound scan.<\/jats:p>\n                  <jats:p>The patient rapidly improved; however, 2weeks later he again became febrile. Further blood cultures grew Klebsiella pneumoniae. An abdominal computed tomography scan showed a high density linear structure straddling the second part of the duodenum and the inferior vena cava, representing a foreign body (Figure 1). Clot could be seen in the vena cava where it had been penetrated. Multiple ill-defined opacities seen in the lung base were consistent with embolization of the lungs. A plain abdominal radiograph showed the foreign body was a 4cm sewing needle (Figure 2). The needle and clot were removed surgically through an incision in the inferior vena cava and culture of specimens yielded both Staphylococcus aureus and Klebsiella pneumoniae (Figure 3) . The patient was treated with cefuroxime and made an uneventful recovery but had no recollection of having swallowed the needle.<\/jats:p>","DOI":"10.12968\/hosp.2000.61.11.1471","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T11:32:36Z","timestamp":1400844756000},"page":"806-806","source":"Crossref","is-referenced-by-count":0,"title":["An unusual case of recurrent septicaemia"],"prefix":"10.31083","volume":"61","author":[{"given":"Catherine","family":"Robinson","sequence":"first","affiliation":[{"name":"Christchurch Hospital, Christchurch, New Zeala"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Cole","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Christchurch Hospital, Christchurch, New Zeala"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Chambers","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Christchurch Hospital, Christchurch, New Zeala"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","reference":[{"key":"p_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(81)90342-1"},{"key":"p_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1970.01340280027008"},{"key":"p_3","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900152"}],"container-title":["Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/hosp.2000.61.11.1471","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T01:43:39Z","timestamp":1770687819000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/BJHM\/61\/11\/10.12968\/hosp.2000.61.11.1471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,11]]},"references-count":3,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2000,11]]}},"alternative-id":["10.12968\/hosp.2000.61.11.1471"],"URL":"https:\/\/doi.org\/10.12968\/hosp.2000.61.11.1471","relation":{},"ISSN":["1462-3935","2053-4299"],"issn-type":[{"value":"1462-3935","type":"print"},{"value":"2053-4299","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,11]]}}}