Frizzola Meg A, Hertzog James H
Department of Anesthesiology and Critical Care Medicine, Nemours Children's Clinic-Wilmington, Alfred I. duPont Hospital for Children, Wilmington, DE 19803, USA.
Pediatr Emerg Care. 2011 Nov;27(11):1078-80. doi: 10.1097/PEC.0b013e318236069f.
We report a case of Lemierre syndrome secondary to Streptococcus pyogenes in a 22-month-old girl. This case report and literature review took place at a pediatric intensive care unit at a freestanding tertiary children's hospital. Diagnosis occurred after the discovery of left internal jugular thrombus and multiple metastatic infection sites including the right knee, kidneys, lungs, and brain. Lemierre syndrome can occur in young children secondary to S. pyogenes, and a classic presentation may not occur. A high index of suspicion is crucial to the diagnosis.
我们报告了一例22个月大女孩继发于化脓性链球菌的勒米尔综合征。本病例报告及文献综述是在一家独立的三级儿童医院的儿科重症监护病房进行的。在发现左颈内静脉血栓以及包括右膝、肾脏、肺和脑在内的多个转移性感染部位后作出了诊断。勒米尔综合征可继发于化脓性链球菌而发生于幼儿，且可能不会出现典型表现。高度怀疑对于诊断至关重要。
