Kumar Dilpat, Shamsi Wasif Elahi, Gomes Thales, Warsha Fnu
Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA
Internal Medicine, Western Michigan University School of Medicine, Kalamazoo, Michigan, USA.
BMJ Case Rep. 2021 Jun 29;14(6):e242468. doi: 10.1136/bcr-2021-242468.
Lemierre syndrome (LS) is an acute oropharyngeal infection with secondary septic thrombophlebitis and distant septic embolisation. A 29-year-old woman with sore throat, dyspnoea and left shoulder pain, who was on levofloxacin for 3 days, presented with worsening symptoms. She was tachycardic, tachypneic and hypoxic on presentation. CT of neck and chest revealed multiple loculated abscesses on her left lower neck and shoulder, right peritonsillar abscess, thrombosis of the right external jugular vein and multiple bilateral septic emboli to the lungs. She was started on clindamycin and ampicillin sulbactam for LS. She developed septic shock and required intubation due to respiratory failure. Drainage of the left shoulder abscess grew After 2 weeks of a complicated intensive care unit stay, her haemodynamic status improved and she was transferred to the floor. LS has variable presentations, but regardless of the presentation, it is a potentially fatal disease-requiring prompt diagnosis and management.
勒米尔综合征（LS）是一种伴有继发性脓毒性血栓性静脉炎和远处脓毒性栓塞的急性口咽感染。一名29岁女性，咽痛、呼吸困难且左肩部疼痛，已服用左氧氟沙星3天，症状逐渐加重。就诊时她心动过速、呼吸急促且缺氧。颈部和胸部CT显示其左下颈部和肩部有多个分隔脓肿、右侧扁桃体周围脓肿、右颈外静脉血栓形成以及双肺多发双侧脓毒性栓子。她开始接受克林霉素和氨苄西林舒巴坦治疗LS。她出现了感染性休克，因呼吸衰竭需要插管。左肩部脓肿引流培养…… 在重症监护病房经历2周的复杂治疗后，她的血流动力学状态有所改善，被转至普通病房。LS有多种表现形式，但无论表现如何，它都是一种潜在的致命疾病，需要及时诊断和治疗。
