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{
    "pk": 42505,
    "title": "Methicillin Resistant<em> Staphylococcus Aureus</em> Septic Internal Jugular Thrombophlebitis: A Case Report\n<!--EndFragment-->",
    "subtitle": null,
    "abstract": "<p><strong>Introduction</strong>: Lemierre syndrome is characterized by septic thrombophlebitis of the internal jugular vein, classically caused by <em>Fusobacterium necrophorum</em>. It is typically seen after an episode of pharyngitis where the palatine tonsils or peritonsillar mucosa is affected. It is thought to spread locally into the pharyngeal space toward the internal jugular vein.</p>\n<p><strong>Case Report: </strong>A 42-year-old male with progressively worsening, atraumatic right-sided neck pain was discovered to have methicillin-resistant <em>Staphylococcus aureus </em>(MRSA) bacteremia, septic thrombophlebitis of the right dural venous sinuses, skull base osteomyelitis, and otomastoiditis.</p>\n<p><strong>Conclusion</strong>: While septic thrombophlebitis of the dural venous sinuses and internal jugular vein is typically caused by <em>F necrophorum </em>and usually comes from local pharyngeal spread, community-acquired MRSA is an emerging cause of this pathology.</p>\n<p><!--EndFragment--></p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "septic thrombophlebitis"
        },
        {
            "word": "case report"
        },
        {
            "word": "MRSA"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1k44h5x9",
    "frozenauthors": [
        {
            "first_name": "Daniel",
            "middle_name": "",
            "last_name": "Kowalczyk",
            "name_suffix": "",
            "institution": "University of Missouri, Department of Emergency Medicine, Columbia, Missouri",
            "department": ""
        },
        {
            "first_name": "George",
            "middle_name": "",
            "last_name": "Ubiñas",
            "name_suffix": "",
            "institution": "University of Missouri, Department of Emergency Medicine, Columbia, Missouri",
            "department": ""
        }
    ],
    "date_submitted": "2025-03-18T18:53:59.405000Z",
    "date_accepted": "2025-05-27T22:06:19.385000Z",
    "date_published": "2026-03-08T05:48:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/42505/galley/49021/download/"
        }
    ]
}