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勒米尔综合征:被遗忘的疾病。

Lemierre's syndrome: the forgotten disease.

作者信息

Johannesen Katrine, Bødtger Uffe, Heltberg Ole

机构信息

Department of Lung Medicine, Næstved Hospital, Ringstedgade 61, 4700, Næstved, Denmark,

出版信息

J Thromb Thrombolysis. 2014 Apr;37(3):246-8. doi: 10.1007/s11239-013-0931-y.

Abstract

Lemierre's syndrome is an often un-diagnosed disease seen in previously healthy young subjects, presenting with symptoms of pharyngitis, fever and elevated markers of inflammation. The syndrome is characterised by infectious thrombosis of the jugular vein due to infection with Fusobacteria, causing a variety of infectious complications. Rapid diagnosis and treatment is necessary to avoid severe complications or death. Close collaboration with local microbiologist is pivotal. Treatment consists of longterm treatment with penicillin and metronidazole. This is a case report of Lemierre's syndrome.

摘要

勒米尔综合征是一种常见于既往健康的年轻人群中、常未被诊断的疾病,表现为咽炎、发热及炎症指标升高。该综合征的特征是由梭杆菌感染导致颈静脉感染性血栓形成,进而引发各种感染性并发症。为避免严重并发症或死亡,快速诊断和治疗十分必要。与当地微生物学家密切合作至关重要。治疗包括长期使用青霉素和甲硝唑。这是一例勒米尔综合征的病例报告。

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