Fernández Reyes J L, Dones Carvajal J J, Carcelén Mora I M, Gutiérrez Moreno J M, Lea Pereira M C, Camacho Pastor M A
Servicio de Medicina Interna, sección C, Hospital General de Especialidades Ciudad de Jaén.
An Med Interna. 2002 Mar;19(3):139-42.
Septic thrombophlebitis of internal jugular vein following oropharyngeal infections, referred to as postanginal sepsis, was first described at the beginning of the century by Lemièrre. For diagnostic of Lemièrre's syndrome, distant metastatic abscesses from septic embolization are required. These are placed most frequently in the lungs, but also occurred in soft tissues. Two cases of this unusual syndrome seen in a year period, are reported in this brief communication. We described the first liver metastatic infection, in the syndrome. Successful result was observed when we use a low molecular weight heparin as treatment in the septic thrombophlebitis of internal jugular vein.
口咽感染后颈内静脉的化脓性血栓性静脉炎，被称为咽后败血症，于本世纪初由勒米尔雷首次描述。对于勒米尔雷综合征的诊断，需要有来自脓毒性栓塞的远处转移性脓肿。这些脓肿最常出现在肺部，但也可发生于软组织。本文简要报道了一年内所见的两例这种罕见综合征。我们描述了该综合征中首例肝脏转移性感染。当我们使用低分子量肝素治疗颈内静脉化脓性血栓性静脉炎时，观察到了成功的治疗效果。
