Morrall Amanda, Schmidt Uwe
Internal Medicine, OhioHealth Doctors Hospital, Columbus, USA.
Infectious Disease, Freeman Health Systems, Joplin, USA.
Cureus. 2022 Jun 17;14(6):e26047. doi: 10.7759/cureus.26047. eCollection 2022 Jun.
is part of the normal oropharyngeal flora and can result in a life-threatening systemic infection known as Lemierre's syndrome. A rare presentation of infection is seen in the female genital tract and is typically due to obstetric infections. Here we present a unique case of without traditional features of Lemierre's syndrome with the female genital tract as a primary site. A 50-year-old female presents with a two-month history of nausea, vomiting, abdominal pain, and weight loss. She ultimately developed bilateral lower extremity necrotizing fasciitis, colonic perforation, and a left chest wall abscess. Blood and wound cultures were found to be positive for . Imaging revealed a left ovarian mass along with a left upper lobe nodule. She had no history of oropharyngeal infections or symptoms. Imaging was also negative for deep neck space abscesses or thrombophlebitis. The patient was treated with ceftriaxone and metronidazole and clinically improved. In conclusion, is a potentially life threatening infection and should be considered when dealing with ovarian abscesses or masses.
是正常口咽菌群的一部分,可导致一种危及生命的全身感染,称为勒米尔综合征。在女性生殖道中可见一种罕见的感染表现,通常由产科感染引起。在此,我们报告一例以女性生殖道为主要部位、无勒米尔综合征传统特征的独特病例。一名50岁女性有两个月的恶心、呕吐、腹痛和体重减轻病史。她最终发展为双侧下肢坏死性筋膜炎、结肠穿孔和左胸壁脓肿。血液和伤口培养发现 呈阳性。影像学检查显示左侧卵巢肿块以及左上叶结节。她没有口咽感染病史或症状。影像学检查也未发现深部颈部间隙脓肿或血栓性静脉炎。患者接受头孢曲松和甲硝唑治疗后临床症状改善。总之, 是一种潜在的危及生命的感染,在处理卵巢脓肿或肿块时应予以考虑。
需注意,原文中部分关键病菌名称未给出具体内容,以上译文以“ ”代替。