Sheehan Micheal, McLoughlin Darren, O'Sullivan Ronan
Emergency Department, Cork University Hospital Group, Cork, Ireland.
BMJ Case Rep. 2019 Jan 29;12(1):e222287. doi: 10.1136/bcr-2017-222287.
is a rare infection most notable for causing Lemierre's syndrome. This consists of a primary oropharyngeal infection and septic thrombophlebitis, and one or more metastatic focus. Prior to the widespread use of antibiotics, Lemierre's syndrome commonly followed a rapidly progressing course, with a high mortality. We describe a case of a previously well 18-month-old boy who presented to the emergency department with a 3-week history of progressive, right-sided, painful neck swelling and systemic sepsis. He was initially treated conservatively with intravenous antibiotics, but ultimately required surgical drainage. Lemierre's syndrome is a rare condition with increasing incidence which can have significant adverse outcomes including death. Early recognition and treatment are essential, but identifying Lemierre's disease is challenging.
是一种罕见感染，最显著的表现是引发勒米尔综合征。该综合征包括原发性口咽感染、脓毒性血栓性静脉炎以及一个或多个转移性病灶。在抗生素广泛使用之前，勒米尔综合征通常病程进展迅速，死亡率很高。我们描述了一例先前健康的18个月大男孩，他因进行性右侧颈部疼痛肿胀3周并伴有全身脓毒症而就诊于急诊科。他最初接受静脉抗生素保守治疗，但最终需要手术引流。勒米尔综合征是一种发病率不断上升的罕见疾病，可导致包括死亡在内的严重不良后果。早期识别和治疗至关重要，但识别勒米尔病具有挑战性。
