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[勒米尔综合征:一种罕见疾病的临床和影像学特征]

[Lemierre syndrome: clinical and radiological characteristics of a rare disease].

作者信息

Lacaze O, Bocquel V, Fournel P, Emonot A

机构信息

Service de Pneumologie, Hôpital Nord, 42055 Saint-Etienne.

出版信息

Rev Mal Respir. 2000 Dec;17(6):1105-6.

PMID:11217508
Abstract

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.

摘要

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。

相似文献

1
[Lemierre syndrome: clinical and radiological characteristics of a rare disease].[勒米尔综合征:一种罕见疾病的临床和影像学特征]
Rev Mal Respir. 2000 Dec;17(6):1105-6.
2
Lemierre syndrome: magnetic resonance imaging and computed tomographic appearance.勒米尔综合征:磁共振成像和计算机断层扫描表现
Mil Med. 2000 Aug;165(8):638-40.
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Lemierre syndrome: an all-but-forgotten disease.
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Clinical problem solving: radiology. Radiology quiz case 2: Lemierre syndrome.
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[Lemierre syndrome: a complication of an oropharyngeal infection].勒米尔综合征:口咽感染的一种并发症
Arch Pediatr. 2008 Dec;15(12):1775-8. doi: 10.1016/j.arcped.2008.09.009. Epub 2008 Nov 5.
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[The Lemierre syndrome: a complicated oropharyngeal infection].[勒米尔综合征:一种复杂的口咽感染]
Acta Clin Belg. 2005 Sep-Oct;60(4):173-9. doi: 10.1179/acb.2005.031.
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Septic internal jugular vein thrombosis caused by Fusobacterium necrophorum and mediated by a broken needle.由坏死梭杆菌引起并由断针介导的化脓性颈内静脉血栓形成。
Scand J Infect Dis. 2014 Dec;46(12):911-5. doi: 10.3109/00365548.2014.952247. Epub 2014 Oct 7.
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[Postanginal sepsis caused by Fusobacterium necrophorum: Lemierre syndrome].坏死梭杆菌引起的咽后败血症:勒米尔综合征
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[Lemierre syndrome].[勒米尔综合征]
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引用本文的文献

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Lemierre's disease: a case with bilateral iliopsoas abscesses and a literature review.李缪尔氏病:一例双侧髂腰肌脓肿病例并文献复习。
World J Emerg Surg. 2014 May 15;9:38. doi: 10.1186/1749-7922-9-38. eCollection 2014.
2
A case of Lemierre syndrome.一例勒米埃尔综合征病例。
Ann Saudi Med. 2009 Jan-Feb;29(1):58-60. doi: 10.4103/0256-4947.51822.
3
[Lemierre syndrome: thrombosis of the internal jugular vein after tonsillectomy].[勒米尔综合征:扁桃体切除术后颈内静脉血栓形成]
HNO. 2004 Mar;52(3):251-4. doi: 10.1007/s00106-003-0846-6.