Kherabi Y, Chevrel G, Roux D, Federici L
AP-HP, hôpital Louis-Mourier, service de réanimation médico-chirurgicale, 92700 Colombes, France.
Centre hospitalier Sud Francilien, service de réanimation médico-chirurgicale, 91100 Corbeil-Essonnes, France.
Rev Med Interne. 2020 Jul;41(7):493-495. doi: 10.1016/j.revmed.2020.02.012. Epub 2020 May 1.
Lemierre's syndrome is defined as an oropharyngeal infection due to Fusobacterium necrophorum, associated with septic thrombophlebitis of the internal jugular vein. The uncommon pelvic variant of the syndrome is a rare condition, poorly described in literature.
We report a case of gynecological Lemierre's syndrome in a 19-year-old woman after a first sexual intercourse, who presented acute respiratory failure, left internal iliac vein thrombosis with pulmonary embolism, in the setting of salpingitis and F. necrophorum bacteriemia.
Gynecological Lemierre's syndrome is a rare and unrecognized condition, which could be lethal. Early recognition of the disorder enables initiation of appropriate antibiotic therapy for 4 to 6 weeks, and discussion of anticoagulant therapy which indications are not yet well defined.
勒米尔综合征定义为坏死梭杆菌引起的口咽感染，并伴有颈内静脉脓毒性血栓形成。该综合征罕见的盆腔变异型是一种罕见病症，文献中对此描述甚少。
我们报告一例19岁女性在首次性交后发生的妇科勒米尔综合征，该患者在输卵管炎和坏死梭杆菌菌血症的情况下出现急性呼吸衰竭、左髂内静脉血栓形成并伴有肺栓塞。
妇科勒米尔综合征是一种罕见且未被认识的病症，可能会致命。早期识别该病症有助于启动为期4至6周的适当抗生素治疗，并对抗凝治疗进行讨论，其适应症尚未明确界定。
