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BMJ Case Rep ; 15(10)2022 Oct 13.
Article in English | MEDLINE | ID: mdl-36229077

ABSTRACT

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 grew Fusobacterium 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.


Subject(s)
Fusobacterium Infections , Pelvic Inflammatory Disease , Sepsis , Soft Tissue Infections , Thrombophlebitis , Anti-Bacterial Agents/therapeutic use , Female , Fever/drug therapy , Fusobacterium Infections/complications , Fusobacterium Infections/diagnosis , Fusobacterium Infections/drug therapy , Fusobacterium necrophorum , Humans , Pelvic Inflammatory Disease/complications , Pelvic Inflammatory Disease/diagnosis , Pelvic Inflammatory Disease/drug therapy , Sepsis/complications , Sepsis/diagnosis , Sepsis/drug therapy , Soft Tissue Infections/drug therapy , Thrombophlebitis/complications , Thrombophlebitis/diagnosis , Thrombophlebitis/drug therapy
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