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儿童急性咽炎并发坏疽性口炎。

Lemierre syndrome in a child with recent pharyngitis.

机构信息

Carolinas Medical Center, Department of Emergency Medicine, 1000 Blythe Blvd., Charlotte, North Carolina, USA.

出版信息

CJEM. 2004 Jul;6(4):285-7. doi: 10.1017/s1481803500009283.

DOI:10.1017/s1481803500009283
PMID:17382008
Abstract

A 14-year-old boy presented with fever and progressive respiratory distress, one week after an episode of pharyngitis. Although there was a concern about pulmonary embolism secondary to a lower extremity fracture, his presentation was most consistent with Lemierre syndrome. This syndrome is an uncommon but potentially lethal complication of otolaryngological infections. Early recognition and aggressive antibiotic therapy are critical elements in reducing mortality. Emergency physicians should be aware of this syndrome because its incidence appears to be increasing.

摘要

一名 14 岁男孩在咽峡炎发作一周后出现发热和进行性呼吸窘迫。虽然人们担心下肢骨折继发肺栓塞,但他的表现最符合林氏综合征。这种综合征是耳鼻喉感染的一种罕见但潜在致命的并发症。早期识别和积极的抗生素治疗是降低死亡率的关键因素。急诊医生应该意识到这种综合征,因为它的发病率似乎在增加。

相似文献

1
Lemierre syndrome in a child with recent pharyngitis.儿童急性咽炎并发坏疽性口炎。
CJEM. 2004 Jul;6(4):285-7. doi: 10.1017/s1481803500009283.
2
Internal jugular vein septic thrombophlebitis (lemierre syndrome) as a complication of pharyngitis.颈内静脉化脓性血栓性静脉炎(勒米尔综合征)作为咽炎的一种并发症。
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Lemierre syndrome following oropharyngeal infection: a case series.口咽感染后发生的勒米尔综合征:病例系列
J Am Board Fam Med. 2009 Jan-Feb;22(1):79-83. doi: 10.3122/jabfm.2009.01.070247.
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[A case of Lemierre syndrome].[一例勒米尔综合征病例]
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Lemierre Syndrome of the Femoral Vein, Related to Fusobacterium necrophorum Abscess of Vastus Lateralis.与坏死梭杆菌引起的股外侧肌脓肿相关的股静脉勒米尔综合征。
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Lemierre Disease: A Case With Multilevel Epidural Abscess and Aggressive Neurological Weakness: Case Report and Literature Review.勒米尔氏病:一例伴有多级硬膜外脓肿及进行性神经功能障碍的病例:病例报告及文献综述
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Lemierre's syndrome and rapidly deteriorating respiratory failure in the emergency department.勒米厄尔氏综合征和急诊科迅速恶化的呼吸衰竭。
Am J Emerg Med. 2012 Oct;30(8):1658.e5-7. doi: 10.1016/j.ajem.2011.08.008. Epub 2011 Oct 26.
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Lemierre syndrome: postanginal sepsis.勒米尔综合征:咽后脓毒症
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Expand the pharyngitis paradigm for adolescents and young adults.扩展青少年和青年咽炎的范例。
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A 21-year-old man with fever and sore throat rapidly progressive to hemoptysis and respiratory failure. Diagnosis: Lemierre syndrome with Fusobacterium necrophorum sepsis.一名21岁男性,起初发热、咽痛,迅速进展为咯血和呼吸衰竭。诊断:坏死梭杆菌败血症所致勒米尔综合征。
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引用本文的文献

1
Lung abscess as a complication of Lemierre Syndrome in adolescents: a single center case reports and review of the literature.青少年莱姆病综合征并肺脓肿:单中心病例报告及文献复习。
Ital J Pediatr. 2023 Aug 10;49(1):96. doi: 10.1186/s13052-023-01499-4.
2
Extensive thoracolumbosacral vertebral osteomyelitis after Lemierre syndrome.勒米尔综合征后广泛的胸腰段及骶椎骨髓炎
Eur Spine J. 2015 May;24 Suppl 4:S502-7. doi: 10.1007/s00586-014-3576-4. Epub 2014 Sep 23.
3
Lemierre syndrome: a needle in a haystack.勒米尔综合征:大海捞针。
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.12.2008.1394. Epub 2009 May 12.
4
Lemierre's syndrome mimicking leptospirosis.类钩端螺旋体病的勒米尔综合征
Hawaii Med J. 2010 Jul;69(7):161-3.
5
A patient with Lemierre syndrome.一位莱姆病综合征患者。
Eur J Pediatr. 2010 Apr;169(4):491-3. doi: 10.1007/s00431-009-1134-6.
6
Eponym: the Lemierre syndrome.译名:勒米厄尔综合征。
Eur J Pediatr. 2010 Apr;169(4):411-4. doi: 10.1007/s00431-009-1135-5. Epub 2010 Jan 28.