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[坏死梭杆菌引起的颈内静脉化脓性血栓性静脉炎(勒米尔综合征):病例报告及文献复习]

[Septic thrombophlebitis of the internal jugular vein due to Fusobacterium necrophorum (Lemierre's syndrome): case report and review of literature].

作者信息

Ianniello F, Ferri E, Pinzani A

机构信息

Unità Operativa Autonoma di Otorinolaringoiatria, Presidio Ospedaliero di Dolo (VE), Azienda Sanitaria Locale n. 13, Riviera del Brenta.

出版信息

Acta Otorhinolaryngol Ital. 1998 Oct;18(5):332-7.

Abstract

Lemierre's syndrome is an uncommon clinical entity. It is characterized by oropharyngeal infection followed by septic thrombophlebitis of the jugular vein with embolization to the lungs and other organs. It is usually due to Fusobacterium necrophorum. Although Lemierre's syndrome is rare, it is potentially fatal. It is important for clinicians to recognize and treat it appropriately. With prompt recognition, abscess drainage with possible ligation of the internal jugular vein and appropriate antibiotic coverage complete recovery can be achieved in most patients.

摘要

勒米尔综合征是一种罕见的临床病症。其特征为口咽感染,随后出现颈静脉脓毒性血栓形成并伴有肺部及其他器官的栓塞。通常由坏死梭杆菌引起。尽管勒米尔综合征罕见,但有潜在致命性。临床医生认识并恰当治疗该病很重要。通过及时识别,进行脓肿引流并可能结扎颈内静脉,以及给予恰当的抗生素治疗,大多数患者可实现完全康复。

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