Gubler J G, Wuest J, Oneta C, Hany A
Kantonsspital Winterthur; Institut für Medizinische Mikrobiologie, Universität Zürich.
Schweiz Med Wochenschr. 1990 Mar 31;120(13):440-5.
Among 5 patients with bacteremia due to Fusobacterium necrophorum, 3 young adults had post-anginal sepsis (Lemierre syndrome), including one with the classical secondary metastatic complications of pulmonary abscesses, pleural empyema, arthritis and hepatobiliary disturbances. The primary focus was a cholangiogenic abscess in an 81-year-old woman, and fetid otitis following a radical operation for cholesteomatous chronic otitis media in a 29-year-old male. Septicemia due to Fusobacterium necrophorum, and in particular Lemierre syndrome, are presented in the light of the literature.
在5例坏死梭杆菌所致菌血症患者中,3名年轻成人患有咽峡炎后败血症(勒米尔综合征),其中1例伴有肺脓肿、胸膜脓胸、关节炎和肝胆系统紊乱等典型的继发性转移并发症。主要病灶分别为1名81岁女性的胆管源性脓肿,以及1名29岁男性在胆脂瘤型慢性中耳炎根治术后发生的恶臭性中耳炎。结合文献对坏死梭杆菌所致败血症,尤其是勒米尔综合征进行了阐述。