• Y Kherabi, G Chevrel, D Roux, and L Federici.
• AP-HP, hôpital Louis-Mourier, service de réanimation médico-chirurgicale, 92700 Colombes, France. Electronic address: yousra.kherabi@aphp.fr.
• Rev Med Interne. 2020 Jul 1; 41 (7): 493-495.

IntroductionLemierre's syndrome is defined as an oropharyngeal infection due to Fusobacterium necrophorum, associated with septic thrombophlebitis of the internal jugular vein. The uncommon pelvic variant of the syndrome is a rare condition, poorly described in literature.Case ReportWe report a case of gynecological Lemierre's syndrome in a 19-year-old woman after a first sexual intercourse, who presented acute respiratory failure, left internal iliac vein thrombosis with pulmonary embolism, in the setting of salpingitis and F. necrophorum bacteriemia.ConclusionGynecological Lemierre's syndrome is a rare and unrecognized condition, which could be lethal. Early recognition of the disorder enables initiation of appropriate antibiotic therapy for 4 to 6 weeks, and discussion of anticoagulant therapy which indications are not yet well defined.Copyright © 2020. Published by Elsevier Masson SAS.

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