MB, BCh, BAO, MRCP, Acute Medicine Unit, Wards 7B and 7C, Royal Victoria Hospital, Belfast.
MB, BCh, BAO, FRCP, Department of Infectious Diseases, Royal Victoria Hospital, Belfast.
Acute Med. 2021;20(1):78-82.
We present the case of a previously healthy, immunocompetent male with Lemierre's Syndrome. He presented with headache, sore throat and pyrexia. Initial blood tests revealed raised inflammatory markers and electrolyte abnormalities. Blood cultured Fusobacterium necrophorum. He developed respiratory distress and imaging confirmed lung abscess and empyema due to septic emboli. He required surgical drainage and a prolonged course of antibiotics. This case highlights the rare, but life-threatening condition of Lemierre's Syndrome. We discuss the importance of prompt recognition and early antibiotic therapy.
我们呈现了一例以前健康、免疫功能正常的男性患有莱姆病综合征的病例。他表现为头痛、喉咙痛和发热。初步血液检查显示炎症标志物升高和电解质异常。血液培养出坏死梭杆菌。他出现呼吸窘迫，影像学检查证实了由于脓毒性栓子导致的肺脓肿和脓胸。他需要手术引流和长期的抗生素治疗。本病例强调了莱姆病综合征这一罕见但危及生命的疾病。我们讨论了及时识别和早期抗生素治疗的重要性。
