Ybema A, de Lange J, Baas E M
Ned Tijdschr Tandheelkd. 2014 Mar;121(3):141-4. doi: 10.5177/ntvt.2014.03.13187.
Lemierre's syndrome, a thrombophlebitis of the internal jugular vein, is a rare disorder, usually caused by the microorganism Fusobacterium necrophorum. Throat ache and swelling of the neck are often the first symptoms. Without adequate treatment, Lemierre's syndrome may result in thrombosis of the internal jugular vein and metastatic lung abscesses, with a mortality rate of 18%. On the basis of 2 cases, Lemierre's syndrome is described here. In cases where Lemierre's syndrome is suspected, hospitalization often follows, with the administration of intravenous antibiotics and drainage of the abscesses. One should be on the alert for Lemierre's syndrome when a patient is presented with swelling in the neck following an oropharyngeal infection.
勒米尔综合征是一种颈内静脉血栓性静脉炎，是一种罕见的疾病，通常由坏死梭杆菌引起。喉咙疼痛和颈部肿胀往往是最初症状。若未得到充分治疗，勒米尔综合征可能导致颈内静脉血栓形成和转移性肺脓肿，死亡率为18%。本文基于2例病例对勒米尔综合征进行了描述。在怀疑患有勒米尔综合征的病例中，通常会住院治疗，给予静脉抗生素治疗并引流脓肿。当患者在口咽感染后出现颈部肿胀时，应警惕勒米尔综合征。
