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经手术治疗的勒米尔综合征。

Lemierre's syndrome treated operatively.

作者信息

Lanfear Allison T, Hamandi Mohanad, Fan Joy, Bolin Madison L, Williams Michael, DiMaio J Michael, Waters John

机构信息

Baylor Scott and White-The Heart Hospital, Plano, Texas.

出版信息

Proc (Bayl Univ Med Cent). 2020 Jun 23;33(4):671-673. doi: 10.1080/08998280.2020.1772011.

Abstract

Lemierre's syndrome (LS) is a pharyngeal infection complicated by infectious jugular vein thrombosis and septic emboli. Most commonly caused by it may result in metastatic infection, especially when antibiotic treatment is delayed. Patients with LS are often healthy adults between 16 and 30 years who present with prolonged symptoms of pharyngitis, lateral neck pain, and fever. Other symptoms may include shortness of breath, tachycardia, and hypotension. When administered promptly, antibiotics can act as an effective treatment. However, complications may arise that require additional intervention. Herein, we report a case of LS in a young adult, complicated by severe pleural effusions that required surgical decortication.

摘要

勒米尔综合征(LS)是一种咽部感染,并伴有感染性颈静脉血栓形成和脓毒性栓子。最常见的病因是它可能导致转移性感染,尤其是在抗生素治疗延迟的情况下。患有勒米尔综合征的患者通常是16至30岁之间的健康成年人,表现为咽炎、颈部侧方疼痛和发热的症状持续时间较长。其他症状可能包括呼吸急促、心动过速和低血压。如果及时使用抗生素,可以作为一种有效的治疗方法。然而,可能会出现需要额外干预的并发症。在此,我们报告一例年轻成年人的勒米尔综合征病例,该病例并发严重胸腔积液,需要进行手术剥脱术。

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Lemierre's syndrome treated operatively.经手术治疗的勒米尔综合征。
Proc (Bayl Univ Med Cent). 2020 Jun 23;33(4):671-673. doi: 10.1080/08998280.2020.1772011.

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本文引用的文献

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Lemierre's syndrome: a case study with a short review of literature.勒米尔综合征:一例病例研究及文献综述
Acta Clin Belg. 2019 Jun;74(3):206-210. doi: 10.1080/17843286.2018.1474614. Epub 2018 May 21.
3
Lemierre's syndrome: current perspectives on diagnosis and management.勒米尔综合征:诊断与管理的当前观点
Infect Drug Resist. 2016 Sep 14;9:221-227. doi: 10.2147/IDR.S95050. eCollection 2016.
5
Lemierre syndrome: a rare complication of pharyngotonsillitis.勒米尔综合征:一种罕见的咽扁桃体炎并发症。
Braz J Otorhinolaryngol. 2015 Sep-Oct;81(5):568-70. doi: 10.1016/j.bjorl.2015.03.009. Epub 2015 Jul 21.
9
Eponym: the Lemierre syndrome.译名:勒米厄尔综合征。
Eur J Pediatr. 2010 Apr;169(4):411-4. doi: 10.1007/s00431-009-1135-5. Epub 2010 Jan 28.

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