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类勒米尔综合征罕见病例:病例报告及文献综述

A Rare Case of Lemierre-Like Syndrome: A Case Report and Literature Review.

作者信息

Ibrahim Judy, Noureddin Muhammad Bassel, Lootah Ali, Al Khalidi Aisha, Ghatasheh Ghassan, Al Tatari Hossam

机构信息

Department of Academic Affairs, Tawam Hospital, Al Ain, UAE.

Pediatrics Department, General Pediatrics Division, Tawam Hospital, Al Ain, UAE.

出版信息

Case Rep Pediatr. 2018 Apr 1;2018:9613493. doi: 10.1155/2018/9613493. eCollection 2018.

Abstract

Lemierre's syndrome (LS) is a serious rare complication of oropharyngeal infections. It is characterized by thrombosis of internal jugular vein that rapidly progresses into sepsis and is typically caused by anaerobes. Most of the reported cases have been linked to ; however, there are a handful of reported cases due to aerobes. It is primarily the disease of healthy young adults and can present in school-aged children. The early recognition and treatment of this complication results in resolution of the illness; nevertheless, there have been some concerns about chronic venous insufficiency as a long-term complication. We report a case of a 6-year-old boy, who presented with fever and headache with a history of sore throat. His blood culture was positive for (GAS) and was subsequently found to have internal jugular vein, sigmoid, and transverse sinus vein thrombosis.

摘要

勒米尔综合征(LS)是口咽感染的一种严重罕见并发症。其特征为颈内静脉血栓形成,并迅速发展为败血症,通常由厌氧菌引起。大多数报道的病例与[此处原文缺失相关内容]有关;然而,也有少数由需氧菌引起的报道病例。它主要是健康年轻成年人的疾病,也可出现在学龄儿童中。对这种并发症的早期识别和治疗可使疾病得到缓解;然而,人们对慢性静脉功能不全作为一种长期并发症存在一些担忧。我们报告一例6岁男孩,他因发热、头痛就诊,有咽痛病史。他的血培养[此处原文缺失相关内容](A组链球菌)呈阳性,随后被发现有颈内静脉、乙状窦和横窦静脉血栓形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/537a/5902060/55ae5e1667e8/CRIPE2018-9613493.001.jpg

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