Gerber Ursina, Wäckerlin Adrian, Flury Gian
Medizinische Klinik Ospidal, Gesundheitszentrum Scuol.
Interdisziplinäre Intensivstation, Kantonsspital Graubünden, Chur.
Praxis (Bern 1994). 2020;109(16):1271-1275. doi: 10.1024/1661-8157/a003568.
A 'Trivial' Angina with Serious Consequences A 21-year old man presented with a septic shock two weeks after a pharyngitis. A thrombosis oft the internal jugular vein, septic systemic metastatic lesions and bacteriamia with Fusobacterium necrophorum led to the diagnosis of a Lemierre's syndrome - a rare complication of a pharyngitis with high morbidity and mortality, defined by a septic thrombophlebitis of the internal jugular vein with high risk of embolisation. A streptococcal-negative pharyngitis with red flags should therefore also be treated with antibiotics.
一例后果严重的“轻微”心绞痛 一名21岁男性在咽炎发作两周后出现感染性休克。颈内静脉血栓形成、感染性全身转移性病变以及坏死梭杆菌菌血症导致诊断为勒米尔综合征——一种咽炎的罕见并发症，发病率和死亡率高，其定义为颈内静脉感染性血栓性静脉炎且有高栓塞风险。因此，有警示信号的链球菌阴性咽炎也应使用抗生素治疗。
