Myometritis with pelvic septic vein thrombophlebitis secondary to Fusobacterium necrophorum sepsis.

Kalarickad Maria Koshy, Waleed Malik, Scott C Roberts

BMJ case reports 2022 Oct 13

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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. © BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.

Citation

Kalarickad Maria Koshy, Waleed Malik, Scott C Roberts. Myometritis with pelvic septic vein thrombophlebitis secondary to Fusobacterium necrophorum sepsis. BMJ case reports. 2022 Oct 13;15(10)