星座链球菌所致 Lemierre 综合征与贝佐尔德脓肿并存：一例报告
The co-existence of Lemierre's syndrome and Bezold's abscesses due to Streptococcus constellatus: A case report.
作者信息
Yaita Kenichiro, Sugi Suzuna, Hayashi Makiko, Koga Takuma, Ebata Tomohiro, Sakai Yoshiro, Kaieda Shinjiro, Ida Hiroaki, Watanabe Hiroshi
机构信息
Department of Infection Control and Prevention, Kurume University School of Medicine Department of Medicine, Division of Respirology, Neurology, and Rheumatology Department of Radiology and Center for Diagnostic Imaging Department of Pharmacy, Kurume University Hospital, Kurume, Fukuoka, Japan.
出版信息
Medicine (Baltimore). 2018 Jun;97(26):e11228. doi: 10.1097/MD.0000000000011228.
RATIONALE
The ancient infectious diseases, Lemierre's Syndrome and Bezold's Abscesses are rare.
PATIENT CONCERNS
A 70-year-old Japanese woman with a 15-year history of Parkinson's disease was referred to our hospital due to fever, occipital headache and bilateral shoulder pain that had continued for three months. She had been prescribed prednisolone due to a diagnosis of polymyalgia rheumatica.
DIAGNOSES
A blood culture revealed bacteremia of Streptococcus constellatus. In addition, computed tomography revealed Bezold's abscesses and Lemierre's syndrome.
INTERVENTIONS
We administered ceftriaxone for 31 days, followed by oral amoxicillin.
OUTCOMES
The patient recovered and the abscesses improved.
LESSONS
This case underscores the importance of blood culture tests and cross-referencing with radiological imagings in the diagnoses of these rare critical infectious diseases that mimic polymyalgia rheumatica.
原理
古老的感染性疾病，勒米尔氏综合征和贝佐尔德脓肿很罕见。
患者情况
一名70岁的日本女性，有15年帕金森病病史，因发热、枕部头痛和双侧肩部疼痛持续三个月而被转诊至我院。她因诊断为风湿性多肌痛而服用泼尼松龙。
诊断
血培养显示星座链球菌菌血症。此外，计算机断层扫描显示贝佐尔德脓肿和勒米尔氏综合征。
干预措施
我们给予头孢曲松治疗31天，随后口服阿莫西林。
结果
患者康复，脓肿改善。
经验教训
该病例强调了血培养检查以及与影像学检查交叉对照在诊断这些类似风湿性多肌痛的罕见严重感染性疾病中的重要性。
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