Said Umar N, Al-Hashimi Khalid A
Trauma and Orthopaedics, Huddersfield Royal Infirmary, Huddersfield, GBR.
Vascular Surgery, Royal Shrewsbury Hospital, Shrewsbury, GBR.
Cureus. 2021 Oct 18;13(10):e18865. doi: 10.7759/cureus.18865. eCollection 2021 Oct.
is the most common pathogen isolated in individuals diagnosed with the rare and life-threatening illness known as Lemierre's syndrome. Lemierre's syndrome commonly involves a triad of infection in the oropharyngeal region, thrombophlebitis of the internal jugular vein, and distant metastases of said infection. Our case involves an embolic spread of to the lungs, which was presumed to have originated in the pharynx, in the absence of internal jugular vein thrombosis. The clinical course of the patient was further complicated by an initial diagnosis of community-acquired pneumonia, severe sepsis, and disseminated intravascular coagulation. After suitable input from the multi-disciplinary team and adequate antibiotic therapy, the patient demonstrated a positive outcome with complete recovery to her baseline.
是在被诊断患有罕见且危及生命的疾病（即勒米尔综合征）的个体中分离出的最常见病原体。勒米尔综合征通常涉及口咽区域的三联感染、颈内静脉血栓性静脉炎以及所述感染的远处转移。我们的病例涉及栓子扩散至肺部，在没有颈内静脉血栓形成的情况下，推测栓子起源于咽部。患者的临床病程因最初被诊断为社区获得性肺炎、严重脓毒症和弥散性血管内凝血而进一步复杂化。在多学科团队的适当参与和充分的抗生素治疗后，患者取得了积极的结果，完全恢复到了基线状态。
