Lacaze O, Bocquel V, Fournel P, Emonot A
Service de Pneumologie, Hôpital Nord, 42055 Saint-Etienne.
Rev Mal Respir. 2000 Dec;17(6):1105-6.
A benign oropharyngial infection without appropriate treatment can be complicated by a jugular vein thrombosis and disseminated septic embolies with deleterious pulmonary effects. This septic clinical picture most commonly known as Lemierre syndrome is attributed to Fusobacterium necrophorum, a Gram negative anaerobic bacilli. We describe a case of a young patient who has presented this syndrome accompanied by typical pulmonary manifestations. Adequate antibiotic treatment for 3 weeks associated with anticoagulant treatment for about 3 months duration have allowed a complete recovery without sequel.
良性口咽感染若未得到恰当治疗,可能会并发颈静脉血栓形成以及播散性脓毒性栓子,从而对肺部产生有害影响。这种脓毒症临床表现最常见的被称为勒米尔综合征,其病因是坏死梭杆菌,一种革兰氏阴性厌氧杆菌。我们描述了一例年轻患者出现该综合征并伴有典型肺部表现的病例。为期3周的充分抗生素治疗联合约3个月的抗凝治疗,使患者完全康复且无后遗症。