Hodgson R, Emig M, Pisarello J
Spectrum Health Wound Healing Program, Spectrum Health, Grand Rapids, MI, USA.
Undersea Hyperb Med. 2003 Summer;30(2):87-91.
In 1936 Lemierre described an aggressive neck infection with a high mortality rate. In the original characterization, he describes a pharyngotonsillitis and/or peritonsillar infection followed by unilateral swelling and tenderness along the sternocleidomastoid muscle owing to septic thrombophlebitis of the internal jugular vein. Subsequent to invasion and thrombophlebitis of the internal jugular vein, Fusobacterium necrophorum septicemia occurs, with rigors, high fever, and septic thromboembolism to peripheral sites, especially the lungs and bones. This entity became known as Lemierre Syndrome. Hyperbaric Oxygen (HBO2) has been described as adjunctive treatment in two cases of postanginal septicemia. This case describes the combined approach to a case of Lemierre Syndrome in which HBO2 was added as an adjunct to the treatment, with a favorable and rapid improvement in the patient's condition.
1936年，勒米尔描述了一种具有高死亡率的侵袭性颈部感染。在最初的描述中，他描述了咽扁桃体炎和/或扁桃体周围感染，随后由于颈内静脉脓毒性血栓性静脉炎，沿胸锁乳突肌出现单侧肿胀和压痛。在颈内静脉受到侵袭和发生血栓性静脉炎之后，坏死梭杆菌败血症发生，伴有寒战、高热以及向周围部位尤其是肺部和骨骼的脓毒性血栓栓塞。这个病症后来被称为勒米尔综合征。高压氧（HBO2）已被描述为两例咽后败血症病例的辅助治疗方法。本病例描述了对一例勒米尔综合征采用的联合治疗方法，其中添加了HBO2作为治疗辅助手段，患者病情迅速得到良好改善。
