Department of General Internal Medicine, Kokuho Asahi Chuo Hospital, Asahi, Chiba, Japan
Department of General Internal Medicine, Kokuho Asahi Chuo Hospital, Asahi, Chiba, Japan.
BMJ Case Rep. 2021 Jan 20;14(1):e238404. doi: 10.1136/bcr-2020-238404.
, which occurs as part of the oral microflora, is an uncommon cause of infection. However, it can cause serious bloodstream infections including infective endocarditis. Although oral bacteria, most commonly the spp, can cause internal jugular vein (IJV) thrombophlebitis, there are no reported cases of IJV thrombosis caused Here we report a patient with septic IJV thrombosis with bacteraemia. A middle-aged man presented to our hospital with fever and altered mental status. Blood cultures were positive for , and pan-scan CT with contrast showed left IJV thrombosis, pulmonary embolism and abscesses in the gluteal muscles. The patient was successfully treated with antibiotics. When confronted with bacteraemia in patients with poor oral hygiene, it is necessary to be cautious of the fact that this organism can cause IJV thrombophlebitis.
口腔微生物群的一部分，是一种不常见的感染原因。然而，它可引起严重的血流感染，包括感染性心内膜炎。虽然口腔细菌，最常见的是 spp，可引起颈内静脉（IJV）血栓性静脉炎，但没有报道过由 引起的 IJV 血栓形成的病例。在此，我们报告一例败血症性 IJV 血栓形成合并菌血症的患者。一名中年男性因发热和精神状态改变就诊于我院。血培养阳性为 ，增强 CT 扫描显示左侧颈内静脉血栓形成、肺栓塞和臀肌脓肿。患者经抗生素治疗后痊愈。当遇到口腔卫生状况不佳的患者发生菌血症时，需要警惕该病原体可引起颈内静脉血栓性静脉炎的事实。
