Raggio Blake S, Grant Maria C, Rodriguez Kimsey, Cripe Patrick J
1 Tulane University Medical Center, New Orleans, LA, USA.
2 Ochsner Health System of New Orleans, New Orleans, LA, USA.
Clin Pediatr (Phila). 2018 Mar;57(3):294-299. doi: 10.1177/0009922817721156. Epub 2017 Jul 18.
A previously healthy 5-week-old female was admitted for sepsis secondary to methicillin-resistant Staphylococcus aureus (MRSA) bacteremia. After several days of hospitalization, she experienced acute decompensation in mental status despite having received targeted antibiotic therapy. Imaging revealed left peritonsillar/parapharyngeal space abscess, left venous thrombophlebitis of the internal jugular vein, and septic emboli of the lungs and brain consistent with Lemierre syndrome. Bedside needle aspiration of the parapharyngeal abscess confirmed MRSA involvement. Unfortunately, the patient continued to deteriorate over the next several days and life support was withdrawn on hospital day 16. We present the youngest reported case of Lemierre syndrome and review the literature.
一名此前健康的5周龄女性因耐甲氧西林金黄色葡萄球菌（MRSA）菌血症继发败血症入院。住院几天后，尽管接受了针对性抗生素治疗，但她的精神状态出现急性失代偿。影像学检查显示左侧扁桃体周围/咽旁间隙脓肿、左侧颈内静脉血栓性静脉炎以及肺部和脑部的脓毒性栓子，符合勒米尔综合征。床边经皮穿刺抽吸咽旁脓肿证实有MRSA感染。不幸的是，患者在接下来的几天里病情持续恶化，于住院第16天停止了生命支持。我们报告了文献中年龄最小的勒米尔综合征病例并进行文献复习。
