Septic shock Fusobacterium necrophorum from origin gynecological at complicated an acute respiratory distress syndrome: a variant of Lemierre's syndrome

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

“…Fusobacterium necrophorum is a common finding in the urogenital tract , however, normally not a pathogenic one and we have found only one previous report of Lemierre's syndrome caused by F. necrophorum originating from the urogenital tract. This was in a 47‐year‐old woman who had not undergone surgery .…”

Myometritis with pelvic septic vein thrombophlebitis secondary toFusobacterium necrophorumsepsis

“…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. One more recent report diagnosed septic thrombophlebitis 3 days after an IUD insertion 7.…”

Atypical presentation of Lemierre’s syndrome: case report and literature review

“…Whereas a typical Lemierre’s syndrome consists of a septic cervical thrombophlebitis, usually complicated by septic emboli, atypical presentations have been reported in the abdomen, either in the context of genitourinary infections [8] or related to other intra-abdominal [9] or lower limb infections [5] (Table 1). Based on the absence of septic thrombophlebitis, these cases should be formally considered as different from bacteremia due to Fusobacterium [6, 10]. In our case, the presentation and evolution of Lemierre’s syndrome were atypical, as well as the identification of the less frequent F. nucleatum [8].…”