免疫功能低下的勒米尔综合征患者并发颈内静脉化脓性血栓性静脉炎：一例报告
Septic Thrombophlebitis of the Internal Jugular Vein in an Immunocompromised Patient with Lemierre Syndrome: A Case Report.
作者信息
Gomide Larissa Machado E Silva, Zarate Nissel Maria Alice, Weihermann Viktoria, De Oliveira Isabella Correa, De Aguiar Alan Junior, Verona Dunia, Nati Vitória Hibary, Mateus Maitê, Valejo Igor Raphael Mathias, Tanizawa Carlos Humberto Guilman, Finck Bruno Cesar Lubi, Santini Pedro Henrique Batista, Da Costa Marco Aurélio Raeder, Coelho Júlio Cezar Uili
机构信息
Department of Gastrointestinal Surgery and Liver Transplantation, Clinical Hospital of the Federal University of Paraná, Curitiba, PR, Brazil.
Department of General Surgery, Clinical Hospital of the Federal University of Paraná, Curitiba, PR, Brazil.
出版信息
Transplant Proc. 2022 Jun;54(5):1388-1390. doi: 10.1016/j.transproceed.2022.03.042. Epub 2022 Jun 7.
Lemierre syndrome is a rare complication of oropharyngeal infection, especially acute pharyngotonsillitis, associated with septicemia and thrombophlebitis of the internal jugular vein (IJV). We present the case of a 52-year-old patient who underwent liver transplantation and returned with symptoms of pain, redness and left cervical bulging 1 month after surgery. After investigation, the diagnosis of septic thrombophlebitis of the IJV was made. The patient responded well to treatment with antibiotic therapy and full anticoagulation. To the best of our knowledge, the present report is the first report of Lemierre syndrome in a post-liver transplant patient.
勒米尔综合征是口咽感染的一种罕见并发症，尤其是急性咽扁桃体炎，与败血症和颈内静脉血栓性静脉炎有关。我们报告一例52岁患者，该患者接受了肝移植手术，术后1个月出现疼痛、发红和左颈部肿胀症状。经检查，诊断为颈内静脉化脓性血栓性静脉炎。患者对抗生素治疗和充分抗凝治疗反应良好。据我们所知，本报告是肝移植术后患者发生勒米尔综合征的首例报告。
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