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颈部坏死性筋膜炎合并莱姆病综合征。

Necrotizing fasciitis of the neck associated with Lemierre syndrome.

机构信息

Otolaryngology and Head and Neck Surgery Department, University of Florence, Italy.

出版信息

Acta Otorhinolaryngol Ital. 2009 Jun;29(3):160-3.

Abstract

Necrotizing fasciitis of the head and neck is a rare, life-threatening, soft tissue infection rapidly involving superficial fat and fascia with necrosis of the overlying skin. If septic thrombophlebitis of the internal jugular vein complicates a parapharyngeal abscess, the clinical condition is referred to as Lemierre syndrome, also known as post-anginal sepsis. A lethal case of necrotizing fasciitis of the neck is herewith reported that developed following tooth extraction and was complicated by thrombosis of the internal jugular vein and superior vena cava in an elderly diabetic patient.

摘要

头颈部坏死性筋膜炎是一种罕见的、危及生命的软组织感染,迅速累及浅脂肪和筋膜,导致覆盖其上的皮肤坏死。如果咽旁脓肿合并颈内静脉脓毒性血栓性静脉炎,则称为勒米埃雷综合征,也称为心绞痛后败血症。本文报告 1 例老年糖尿病患者拔牙后并发颈内静脉和上腔静脉血栓形成的致命性坏死性筋膜炎病例。

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