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坏死梭杆菌脑膜炎继发海绵窦血栓形成导致的颈动脉狭窄和血栓形成

Carotid artery stenoses and thrombosis secondary to cavernous sinus thromboses in Fusobacterium necrophorum meningitis.

作者信息

Jones T H, Bergvall V, Bradshaw J P

机构信息

Royal Hallamshire Hospital, Sheffield, UK.

出版信息

Postgrad Med J. 1990 Sep;66(779):747-50. doi: 10.1136/pgmj.66.779.747.

DOI:10.1136/pgmj.66.779.747
PMID:2235810
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2426898/
Abstract

We report the case of a young man with Fusobacterium necrophorum meningitis who developed bilateral carotid artery stenosis associated with thrombosis of the cavernous sinuses. Intraluminal clot was present in the region of the stenoses for which he was anticoagulated. The clinical presentation, problems with diagnosis, the use of anticoagulation and the need for prolonged treatment with metronidazole are discussed.

摘要

我们报告了一例患有坏死梭杆菌性脑膜炎的年轻男性病例，该患者出现双侧颈动脉狭窄并伴有海绵窦血栓形成。狭窄部位存在管腔内血栓，对此他接受了抗凝治疗。本文讨论了该病例的临床表现、诊断问题、抗凝治疗的使用以及甲硝唑延长治疗的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7535/2426898/446229883f66/postmedj00165-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7535/2426898/6f5340d19595/postmedj00165-0055-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7535/2426898/07048bc74509/postmedj00165-0055-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7535/2426898/446229883f66/postmedj00165-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7535/2426898/6f5340d19595/postmedj00165-0055-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7535/2426898/07048bc74509/postmedj00165-0055-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7535/2426898/446229883f66/postmedj00165-0056-a.jpg

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本文引用的文献

1
Cavernous sinus thrombophlebitis.海绵窦血栓性静脉炎
Br J Ophthalmol. 1957 Apr;41(4):228-37. doi: 10.1136/bjo.41.4.228.
2
Primary meningitis caused by Bacteroides fragilis and Fusobacterium necrophorum.由脆弱拟杆菌和坏死梭杆菌引起的原发性脑膜炎。
Postgrad Med J. 1980 May;56(655):351-3. doi: 10.1136/pgmj.56.655.351.
3
Metastatic complications of Fusobacterium necrophorum sepsis. Two cases of Lemierre's postanginal septicemia.坏死梭杆菌败血症的转移性并发症。两例咽峡炎后败血症（勒米尔氏综合征）。
由牙齿感染引起的伴有海绵窦血栓形成的勒米尔综合征。
BMJ Case Rep. 2021 Mar 16;14(3):e238521. doi: 10.1136/bcr-2020-238521.
4
subsp. Liver Abscess with Pylephlebitis: An Abdominal Variant of Lemierre's Syndrome.亚种。肝脓肿合并门静脉炎：勒米尔综合征的腹部变异型。
Case Rep Infect Dis. 2020 Jan 13;2020:9237267. doi: 10.1155/2020/9237267. eCollection 2020.
5
Primary meningitis due to successfully treated with ceftriaxone in a healthy adult male.一名健康成年男性因原发性脑膜炎接受头孢曲松治疗并成功治愈。 （原英文句子表述不完整，推测补充完整后的翻译如上）
IDCases. 2019 Aug 5;18:e00616. doi: 10.1016/j.idcr.2019.e00616. eCollection 2019.
6
Infections caused by Fusobacterium in children: a 14-year single-center experience.儿童梭杆菌感染：一项为期14年的单中心经验
Infection. 2015 Dec;43(6):663-70. doi: 10.1007/s15010-015-0782-x. Epub 2015 May 1.
7
The forgotten disease: Bilateral lemierre's disease with mycotic aneurysm of the vertebral artery.被遗忘的疾病：双侧莱米尔氏病伴椎动脉霉菌性动脉瘤
Am J Case Rep. 2014 May 25;15:230-4. doi: 10.12659/AJCR.890449. eCollection 2014.
8
Lemierre's Syndrome presenting with neurological and pulmonary symptoms: Case report and review of the literature.以神经和肺部症状为表现的勒米尔综合征：病例报告及文献复习
Ann Indian Acad Neurol. 2013 Apr;16(2):259-63. doi: 10.4103/0972-2327.112489.
9
Methicillin-resistant Staphylococcus aureus USA300 clone as a cause of Lemierre's syndrome.耐甲氧西林金黄色葡萄球菌 USA300 克隆导致的林氏综合征。
J Clin Microbiol. 2011 May;49(5):2063-6. doi: 10.1128/JCM.02507-10. Epub 2011 Mar 23.
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Meningitis, cranial nerve palsies and bilateral cerebral infarcts : a neurological variant of Lemierre's syndrome.
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Am J Dis Child. 1980 Apr;134(4):356-8. doi: 10.1001/archpedi.1980.04490010014005.
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5
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Fusobacterium necrophorum septicemia following oropharyngeal infection.口咽感染后坏死梭杆菌败血症
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Intracranial venous thrombosis.颅内静脉血栓形成
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JAMA. 1974 Nov 25;230(8):1168-9.
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Anaerobic meningitis in children.儿童厌氧性脑膜炎
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