Lemierre's syndrome after evacuation of the uterus: a case report

Hedengran, Katrine K.; Hertz, J. B.

doi:10.1002/ccr3.62

Cited by 7 publications

(3 citation statements)

References 5 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 2 5 However, primary infection sites can be found in the liver and be associated with portal vein thrombosis (pylephlebitis), 8–10 or in gynaecological organs such as the vagina, cervix and uterus (with or without intrauterine device) and be associated with pelvic veins thrombosis. 11–16 Although not specific, thrombocytopaenia, as observed in the present case, is a common feature of Lemierre syndrome. 2 5 There was no evidence of disseminated intravascular coagulation.…”

Section: Differential Diagnosissupporting

confidence: 47%

Complex Lemierre syndrome with multisystemic abscesses

et al. 2023

View full text Add to dashboard Cite

We present here the challenging case of severe Lemierre syndrome in a healthy woman in her late twenties, whose clinical presentation was characterised by lung abscesses and disseminated systemic abscesses in the brain, the abdomen and the soft-tissues, as a likely consequence of a patent foramen ovale. Blood cultures were positive forFusobacterium necrophorumand a right lingual vein thrombosis was detected at a late stage when the patient developed a septic shock. Initial antimicrobial therapy with metronidazole and ceftriaxone was modified to meropenem due to progressive worsening. The patient underwent laparoscopy and neurosurgical drainage of a cerebral abscess. She spent many days in the intensive care unit and recovered fully after 6 weeks on meropenem therapy. Although considered rare, the incidence of Lemierre syndrome, a potentially life-threatening condition, is increasing. The clinician should promptly recognise and treat it while being aware of its potential atypical presentations.

show abstract

Section: Differential Diagnosissupporting

confidence: 47%

Complex Lemierre syndrome with multisystemic abscesses

et al. 2023

View full text Add to dashboard Cite

show abstract

“…We suspect either the medical abortion or the subsequent IUD placement led to local F. necrophorum translocation, resulting in our patient’s pelvic findings. One prior case has described Lemierre’s syndrome occurring after a medical abortion; however, septic thrombophlebitis was isolated to the internal jugular vein and cervical cultures were positive for F. necrophorum , suggesting haematogenous dissemination 5. A separate case noted septic thrombophlebitis of the ovarian vein in a patient with an IUD present for years without recent placement or manipulation, unlike our case 6.…”

Section: Discussionmentioning

confidence: 46%

Myometritis with pelvic septic vein thrombophlebitis secondary toFusobacterium necrophorumsepsis

Koshy

Malik

2022

BMJ Case Rep

View full text Add to dashboard Cite

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 grewFusobacterium necrophorum. 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.

show abstract

“…[mesh] AND "gynecologic disease" identified seven cases [5,6,7,8,9,10] in women aged between 15 and 47 years. The gynecological presentations varied with a history of uterine tube infection, rectal or bladder fistula, or secondary hepatic or mesenteric abscesses.…”

mentioning

confidence: 99%