Abele-Horn M, Emmerling P, Mann J F
Institute of Microbiology, Julius-Maximilians University, Würzburg, Germany.
Eur J Clin Microbiol Infect Dis. 2001 Apr;20(4):263-6. doi: 10.1007/pl00011262.
Lemierre's syndrome, a systemic anaerobic infection caused by Fusobacterium necrophorum, is characterized by an acute oropharyngeal infection, septic thrombophlebitis of the internal jugular veins, sepsis, and multiple metastatic infections. It commonly leads to pulmonary parenchymal abscesses and occasionally to septic arthritis, osteomyelitis, or liver or spleen abscesses. Reported here is a case of spondylitis and pulmonary and gluteal abscesses that occurred as part of a classic presentation of Lemierre's syndrome. Treatment with imipenem and clindamycin was successful.
勒米尔综合征是一种由坏死梭杆菌引起的全身性厌氧菌感染,其特征为急性口咽感染、颈内静脉脓毒性血栓性静脉炎、败血症及多处转移性感染。它通常会导致肺实质脓肿,偶尔也会引发脓毒性关节炎、骨髓炎或肝脾脓肿。本文报告了一例作为勒米尔综合征典型表现一部分的脊柱炎以及肺部和臀部脓肿病例。使用亚胺培南和克林霉素治疗取得了成功。