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伴有颈静脉血栓形成和多发性脓毒性肺栓塞的颈面部蜂窝织炎:类勒米尔综合征

Cervicofacial Cellulitis due to with Jugular Vein Thrombosis and Multiple Septic Pulmonary Embolism: A Lemierre-Like Syndrome.

作者信息

Niang Ibrahima, Diouf Latyr Junior, Diop Papa Abdou, Thioub Daouda, Sarr Alassane, Diouf Khadidiatou Ndiaye, Akpo Geraud Lera, Diop Abdoulaye Dione, Ba Sokhna

机构信息

Radiology Department, Fann University Hospital Center, Dakar, Senegal.

Infectious Diseases Department, Fann University Hospital Center, Dakar, Senegal.

出版信息

Case Rep Infect Dis. 2022 Aug 26;2022:7805523. doi: 10.1155/2022/7805523. eCollection 2022.

Abstract

This is the case of a 28-year-old male patient with no particular pathological history who presented with an inflammatory swelling of the right cheek with pus in an infectious context. Cervicofacial CT with contrast injection allowed the diagnosis of a right cervicofacial cellulitis, associated with a jugular venous thrombosis extending to the superior vena cava. It also revealed septic pulmonary metastases in the form of multiple excavated pulmonary nodules. The analysis of the pus sample allowed the isolation of as the causative germ. This led to the diagnosis of a Lemierre-like syndrome, which is a variant of the Lemierre syndrome. Despite appropriate antibiotic treatment and anticoagulation, the patient died after 16 days of hospitalization.

摘要

这是一名28岁男性患者的病例,他没有特殊的病史,在感染情况下出现右脸颊炎性肿胀并伴有脓液。增强颈部面部CT检查诊断为右颈部面部蜂窝织炎,伴有颈静脉血栓形成并延伸至上腔静脉。检查还发现有多个空洞性肺结节形式的感染性肺转移灶。对脓液样本的分析分离出 作为致病病菌。这导致诊断为类勒米尔综合征,它是勒米尔综合征的一种变体。尽管进行了适当的抗生素治疗和抗凝治疗,患者在住院16天后死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f323/9439926/0b334a60abdf/CRIID2022-7805523.001.jpg

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