咽痛进展为栓塞性脓毒症：一例莱姆病综合征。
Sore throat progressing to embolic sepsis: a case of Lemierre's syndrome.
机构信息
Division of Respirology, Department of Intensive Medicine, Dalhousie University, Halifax, Canada.
出版信息
Can Respir J. 2010 Jan-Feb;17(1):e20-2. doi: 10.1155/2010/950709.
Abstract
Lemierre's syndrome is a rare clinical syndrome defined as orophyngeal sepsis, thrombophlebitis of the internal jugular vein and septic thombo-emboli. It is typically encountered in young, immunocompetent individuals, with a mean incident age of 20 years. The organism that is most commonly associated is an anaerobic Gram-negative bacterium: Fusobacterium species. The defined treatment course is at least six weeks of antibiotics, with the role of anticoagulation being unclear. The present article documents a case of Lemierre's syndrome complicated by acute renal failure and loculated pleural effusion in an otherwise healthy 16-year-old patient.
摘要
利氏综合征是一种罕见的临床综合征，定义为咽峡炎、颈内静脉血栓性静脉炎和脓毒性血栓栓塞。它通常发生在年轻、免疫功能正常的个体中，平均发病年龄为 20 岁。最常见的相关病原体是一种厌氧革兰氏阴性菌：梭杆菌属。明确的治疗疗程至少为六周的抗生素，抗凝的作用尚不清楚。本文记录了一例利氏综合征合并急性肾衰竭和局限性胸腔积液的病例，该患者为 16 岁健康个体。
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