Jafri Farrukh N, Shulman Jodi, Gómez-Márquez José C, Lazarus Matthew, Ginsburg David M
M.D., Assistant Director of Education and Simulation, Assistant Professor of Emergency Medicine at the Albert Einstein College of Medicine, Department of Emergency Medicine, White Plains Hospital, White Plains, NY, USA.
PA-C, Department of Emergency Medicine, White Plains Hospital, White Plains, NY, USA.
Case Rep Emerg Med. 2018 Dec 6;2018:7373914. doi: 10.1155/2018/7373914. eCollection 2018.
Lemierre's syndrome is an acute oropharyngeal infection with a secondary septic thrombophlebitis of the internal jugular vein (IVJ) that was first reported in literature in 1936. It involves the progression of disease from a focal suppurative peritonsillar infection to a local septic thrombophlebitis with hematogenous progression to and distant septic emboli. It is a rare and potentially fatal syndrome requiring prompt diagnosis and management. We present the case progression of an 18-year-old male who presented to our hospital with resolved sore throat, fever, and chest discomfort who experienced a sharp clinical decline. His case, physical exam, laboratory abnormalities, and radiologic studies highlight important facets of this rare but important syndrome.
勒米尔综合征是一种急性口咽感染，伴有颈内静脉继发性化脓性血栓性静脉炎，于1936年首次在文献中报道。它涉及疾病从局灶性化脓性扁桃体周围感染发展为局部化脓性血栓性静脉炎，并通过血行播散至远处的脓毒性栓子。这是一种罕见且可能致命的综合征，需要及时诊断和处理。我们介绍一名18岁男性的病例进展，该患者因咽痛、发热和胸部不适已缓解而前来我院就诊，但随后病情急剧恶化。他的病例、体格检查、实验室异常及影像学检查突出了这种罕见但重要综合征的重要方面。
