Suzuki Rioto, Terayama Mari, Tanda Minoru, Takahashi Gaku
Advanced Critical Care and Emergency Center, Iwate Medical University Hospital, Japan.
IDCases. 2022 Apr 4;28:e01495. doi: 10.1016/j.idcr.2022.e01495. eCollection 2022.
An 85-year-old woman with a history of rheumatoid arthritis fell due to unsteadiness and visited our emergency room due to head injury. The patient had minor head trauma and lip and oral cavity injuries, and she presented with fever. Laboratory tests showed high inflammatory marker levels. Moreover, there were indicative of urinary tract infection. Thus, the patient was admitted to our hospital. Blood cultures performed upon admission revealed the presence of , and contrast-enhanced computed tomography scan showed solitary right external jugular vein thrombosis and multiple abscesses in both lungs. Hence, the patient was diagnosed with Lemierre's syndrome, and antimicrobial agents and anticoagulants were administered. The patient developed left pleurisy due to inflammation caused by lung abscesses, which improved with thoracic drainage. Her condition improved satisfactorily, and she was then discharged. There are only few studies about Lemierre's syndrome caused by and even lesser cases involving external jugular vein thrombosis. Herein, we report a relatively rare case of Lemierre's syndrome with isolated external jugular vein thrombosis.
一位85岁有类风湿关节炎病史的女性因步态不稳摔倒，因头部受伤前来我院急诊室就诊。患者有轻度头部外伤及唇部和口腔损伤，并伴有发热。实验室检查显示炎症标志物水平升高。此外，提示存在尿路感染。因此，患者入住我院。入院时进行的血培养显示有[具体细菌名称未给出]，增强计算机断层扫描显示右侧颈外静脉孤立性血栓形成及双肺多发脓肿。因此，患者被诊断为勒米尔综合征，并给予抗菌药物和抗凝剂治疗。患者因肺脓肿引起的炎症出现左侧胸膜炎，经胸腔引流后病情好转。她的病情令人满意地改善，随后出院。关于由[具体细菌名称未给出]引起的勒米尔综合征的研究很少，涉及颈外静脉血栓形成的病例更少。在此，我们报告一例相对罕见的孤立性颈外静脉血栓形成的勒米尔综合征病例。
