Chen Tao An, Chuang Ya Ting, Lin Hua Yu, Chen Cheng Hsien
Division of Respiratory Therapy, Department of Chest Medicine, Show Chwan Memorial Hospital, Changhua, TWN.
Surgical Intensive Care Unit, Department of Nursing, Show Chwan Memorial Hospital, Changhua, TWN.
Cureus. 2023 Aug 31;15(8):e44434. doi: 10.7759/cureus.44434. eCollection 2023 Aug.
Lemierre's syndrome is a rare condition that involves anaerobic sepsis following pharyngitis and is characterized by a high mortality rate. It often manifests as a septic embolism within the internal jugular vein due to oropharyngeal infections, leading to vein wall inflammation. Despite modern antibiotics, Lemierre's syndrome remains underdiagnosed and poses a significant threat. We report the case of a 43-year-old man who has alcoholic liver cirrhosis and diabetes mellitus. Symptoms included chest pain, back pain, and neck swelling, with leading to the diagnosis of associated Lemierre's syndrome. Furthermore, associated Lemierre's syndrome is linked to diabetes mellitus and the elderly population. Notably, it showed a tendency for distant metastases, particularly in the lungs and brain. Additionally, central nervous system and renal involvement were observed in a smaller subset of cases.
勒米尔综合征是一种罕见疾病，发生于咽炎后，涉及厌氧性败血症，死亡率高。它常表现为因口咽感染导致颈内静脉出现脓毒性栓塞，引发静脉壁炎症。尽管有现代抗生素，勒米尔综合征仍诊断不足，构成重大威胁。我们报告一例43岁男性病例，他患有酒精性肝硬化和糖尿病。症状包括胸痛、背痛和颈部肿胀，最终诊断为相关的勒米尔综合征。此外，相关的勒米尔综合征与糖尿病和老年人群有关。值得注意的是，它有远处转移的倾向，尤其是在肺部和脑部。此外，在一小部分病例中观察到中枢神经系统和肾脏受累。
