Sharma Akshay, Goyal Sachin, Arsene Camelia, Krishnamoorthy Geetha, Ehrinpreis Murray
Department of Internal Medicine, Sinai Grace Hospital, Detroit Medical Center/Wayne State University, Detroit, MI.
Department of Internal Medicine, Division of Gastroenterology, Detroit Medical Center/Wayne State University, Detroit, MI.
ACG Case Rep J. 2018 Dec 19;5:e99. doi: 10.14309/crj.2018.99. eCollection 2018.
The species is known for its association with septic thrombophlebitis of the internal jugular vein (Lemierre's syndrome). Lemierre's syndrome is associated with septic emboli to the liver and lungs, often causing multiple abscesses. We present a unique case of septicemia in which the bacteria invaded the portal vein through the gastrointestinal mucosa due to diverticulitis and spread hematogenously to the liver and lungs, causing abscesses. It was treated successfully with 6 weeks of antibiotics. Physicians should be aware of this rare pathogen and suspect its presence in severe pharyngitis or culture-negative liver abscess.
该物种以内颈静脉化脓性血栓性静脉炎（勒米尔综合征）而闻名。勒米尔综合征与肝脏和肺部的脓毒性栓子有关，常导致多发性脓肿。我们报告了一例独特的败血症病例，细菌因憩室炎通过胃肠道黏膜侵入门静脉，并经血行扩散至肝脏和肺部，引起脓肿。经6周抗生素治疗后成功治愈。医生应了解这种罕见病原体，并怀疑其在严重咽炎或培养阴性的肝脓肿中存在。
