Rivero Marcotegui M, Sánchez Rodríguez C, Cabal Soto S, Aizcorbe Garralda M
Servicio de Medicina Interna, Clínica Ubarmin, Elcano.
An Med Interna. 2005 Nov;22(11):541-3. doi: 10.4321/s0212-71992005001100010.
It has been suggested that a previous viral or bacterial pharyngitis may predispose to Lemierre's syndrome, an uncommon entity nowadays. A case of Lemierre's syndrome and co-infection with Mycoplasma pneumoniae is described, association published before in only 2 other cases. A 16-year-old girl with trombophlebitis of the left jugular vein, Fusobacterium necrophorum bacteremia and septic emboli in the lung requiring mechanical ventilation due to severe respiratory insufficiency. Despite early treatment with penicillin G and clindamycin, fever and part of pulmonary affectation persisted until that an antibiotic agent active against M. pneumoniae was instaurated, after its serological confirmation. The physicians should be easily recognized this disease because of its characteristic clinical findings, and co-infection with other organisms including M. pneumoniae, should be considered.
有人提出，既往的病毒性或细菌性咽炎可能易患勒米埃尔综合征，这在如今是一种罕见的病症。本文描述了一例勒米埃尔综合征合并肺炎支原体感染的病例，此前仅有另外2例报道过这种关联。一名16岁女孩，患有左颈静脉血栓性静脉炎、坏死梭杆菌菌血症以及肺部脓毒性栓子，因严重呼吸功能不全需要机械通气。尽管早期使用青霉素G和克林霉素进行了治疗，但发热及部分肺部病变持续存在，直至血清学确诊肺炎支原体后开始使用针对该菌的抗生素治疗。由于其特征性的临床表现，医生应易于识别这种疾病，并且应考虑与包括肺炎支原体在内的其他病原体合并感染的情况。
