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年轻健康男性突发黄疸,提示莱姆病综合征不典型表现。

Atypical presentation of Lemierre syndrome in a young healthy man with acute jaundice.

机构信息

Jack Steinberg Critical Care Unit, King's College Hospital, London, UK

Jack Steinberg Critical Care Unit, King's College Hospital, London, UK.

出版信息

BMJ Case Rep. 2022 Aug 31;15(8):e249824. doi: 10.1136/bcr-2022-249824.

Abstract

This report presents a case of Lemierre syndrome caused by in a healthy young adult who presented atypically with shortness of breath and jaundice but no clinical or diagnostic evidence of thrombophlebitis. Due to this unusual presentation with jaundice, diagnosis was challenging and delayed. However, the patient was successfully initiated on a prolonged course of intravenous antibiotics; he required a period in the intensive care unit and was discharged without significant complications. This report aims to raise awareness of the diagnosis and treatment of this rare condition and to highlight both common and unusual presentations of the syndrome.

摘要

本报告介绍了一例由 引起的莱姆病综合征,发生于一名健康的年轻成年人,其表现不典型,仅有呼吸急促和黄疸,而无血栓性静脉炎的临床或诊断证据。由于黄疸的这种不典型表现,诊断具有挑战性且延迟。然而,患者成功接受了长时间的静脉内抗生素治疗;他需要在重症监护病房接受一段时间的治疗,出院时没有出现重大并发症。本报告旨在提高对这种罕见疾病的诊断和治疗的认识,并强调该综合征的常见和不常见表现。

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本文引用的文献

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