梭状芽孢杆菌败血症并发脑硬膜下和硬膜外积脓：1例罕见的勒米尔综合征病例
Fusobacterium septicemia complicated by cerebral subdural and epidural empyemas: a rare case of Lemierre syndrome.
作者信息
Teng Hao-Wen, Chen Chia-Yuen, Chen Huan-Chieh, Chung Wen-Ting, Lee Wen-Sen
机构信息
Department of Neurology, Taipei Medical University-Wan Fang Hospital, Taipei City, Taiwan.
出版信息
J Emerg Med. 2012 Oct;43(4):671-3. doi: 10.1016/j.jemermed.2010.04.033. Epub 2010 Jun 20.
BACKGROUND
Lemierre syndrome is characterized by postanginal septicemia and internal jugular vein thrombophlebitis with secondary septic emboli, typically to the lungs. The central nervous system (CNS) is rarely involved.
OBJECTIVE
To present a case of Lemierre syndrome featuring cerebral subdural and epidural empyemas.
CASE REPORT
This case report describes the case of a 17-year-old youth with cerebral subdural and epidural empyemas. The findings of chest computed tomography of the neck and the blood cultures were compatible with Lemierre syndrome. The patient recovered well after antibiotic treatment and surgical debridement.
CONCLUSION
Lemierre syndrome can result in infection spreading to the CNS, including cerebral subdural and epidural empyemas. This disease entity should be included in the differential diagnoses of CNS bacterial infections.
背景
勒米尔综合征的特征是咽后败血症和颈内静脉血栓性静脉炎，并伴有继发性脓毒性栓子，通常累及肺部。中枢神经系统（CNS）很少受累。
目的
报告1例以脑硬膜下和硬膜外积脓为特征的勒米尔综合征病例。
病例报告
本病例报告描述了1例患有脑硬膜下和硬膜外积脓的17岁青年。颈部胸部计算机断层扫描结果和血培养结果与勒米尔综合征相符。患者经抗生素治疗和手术清创后恢复良好。
结论
勒米尔综合征可导致感染扩散至中枢神经系统，包括脑硬膜下和硬膜外积脓。在中枢神经系统细菌感染的鉴别诊断中应考虑到这种疾病。
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