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Myometritis with pelvic septic vein thrombophlebitis secondary to Fusobacterium necrophorum sepsis
  1. Kalarickad Maria Koshy1,
  2. Waleed Malik2 and
  3. Scott C Roberts2
  1. 1Internal Medicine, Yale New Haven Health, Bridgeport, Connecticut, USA
  2. 2Infectious Diseases, Yale School of Medicine, New Haven, Connecticut, USA
  1. Correspondence to Dr Kalarickad Maria Koshy; shrutikoshy{at}


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.

  • Infectious diseases
  • Obstetrics and gynaecology

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  • Contributors KMK drafted the manuscript. WM and SCR reviewed and edited the manuscript prior to submission. KMK, WM and SCR were involved in the care of the patient. SCR gave the final approval.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.