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Case Reports
. 2022 Oct 13;15(10):e250097.
doi: 10.1136/bcr-2022-250097.

Myometritis with pelvic septic vein thrombophlebitis secondary to Fusobacterium necrophorum sepsis

Kalarickad Maria Koshy  1 , Waleed Malik  2 , Scott C Roberts  2
Affiliations
Case Reports

Myometritis with pelvic septic vein thrombophlebitis secondary to Fusobacterium necrophorum sepsis

Kalarickad Maria Koshy et al. BMJ Case Rep. .

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.

Keywords: Infectious diseases; Obstetrics and gynaecology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Sagittal view of a CT angiogram of the pelvis showing thrombi in the right gonadal vein and branches of the iliac vein (arrows).
See this image and copyright information in PMC

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