Eilbert Wesley, Singla Nitin
Department of Emergency Medicine, University of Illinois, College of Medicine, 1819 West Polk Street, Room 471 CME, Chicago, IL 60612, USA.
Int J Emerg Med. 2013 Oct 23;6(1):40. doi: 10.1186/1865-1380-6-40.
Lemierre's syndrome is a condition characterized by thrombophlebitis of the internal jugular vein and bacteremia caused by primarily anaerobic organisms, following a recent oropharyngeal infection. This has been an uncommon illness in the era of antibiotic therapy, though it has been reported with increasing frequency in the past 15 years. Lemierre's syndrome should be suspected in young healthy patients with prolonged symptoms of pharyngitis followed by symptoms of septicemia or pneumonia, or an atypical lateral neck pain. Diagnosis is often confirmed by identification of thrombophlebitis of the internal jugular vein and growth of anaerobic bacteria on blood culture. Treatment involves prolonged antibiotic therapy occasionally combined with anticoagulation. We review the literature and a case of a child with Lemierre's syndrome.
勒米尔综合征是一种以内颈静脉血栓性静脉炎和主要由厌氧菌引起的菌血症为特征的疾病，继发于近期的口咽感染。在抗生素治疗时代，这是一种罕见疾病，不过在过去15年中其报告频率呈上升趋势。对于有咽炎长期症状，随后出现败血症或肺炎症状，或非典型颈部侧方疼痛的年轻健康患者，应怀疑患有勒米尔综合征。诊断通常通过确认内颈静脉血栓性静脉炎以及血培养中厌氧菌生长来证实。治疗包括长期抗生素治疗，偶尔联合抗凝治疗。我们回顾了相关文献并报告了一例患有勒米尔综合征的儿童病例。
