Jena Nihar, Yella Prashanth Reddy, Chandramohan Deepak
Cardiovascular Medicine, Saint Joseph Mercy Oakland, Pontiac, USA.
Internal Medicine/Hospital Medicine, Yuma Regional Medical Center, Yuma, USA.
Cureus. 2023 Aug 29;15(8):e44311. doi: 10.7759/cureus.44311. eCollection 2023 Aug.
Lemierre's syndrome, also known as anaerobic post-anginal septicemia, necrobacillosis, and the "forgotten disease," is a rare manifestation. It is often presented with sepsis, sore throat, fever, neck pain, internal jugular vein thrombophlebitis/thrombosis, and septic emboli. The bacteria that are usually associated with the disease are species, but it is also associated with , , and other bacterial species. The diagnosis of Lemierre's syndrome is made based on evidence of septic thrombophlebitis, preceding oropharyngeal infection, and positive culture. Treatment usually consists of antibiotics directed toward the causative organism. The use of anticoagulation, although controversial, is shown to be beneficial by several studies. We describe a middle-aged patient who presented with a sore throat, neck pain, and dysphagia. Imaging of the neck and chest revealed right jugular thrombosis along with septic emboli in the lungs. The culture of the blood and pus drained from the peritonsillar abscess grew . In this study, we have illustrated the effective management of Lemierre's syndrome with antibiotics, anticoagulants, and needle aspiration of abscess.
勒米尔综合征，也被称为厌氧性咽后败血症、坏死杆菌病以及“被遗忘的疾病”，是一种罕见的病症。它常表现为败血症、咽喉痛、发热、颈部疼痛、颈内静脉血栓性静脉炎/血栓形成以及脓毒性栓子。通常与该疾病相关的细菌是 菌属，但它也与 菌、 菌及其他细菌种类有关。勒米尔综合征的诊断基于血栓性静脉炎、先前的口咽感染证据以及阳性培养结果。治疗通常包括针对致病微生物的抗生素治疗。抗凝治疗的使用虽然存在争议，但多项研究表明其有益。我们描述了一名中年患者，其表现为咽喉痛、颈部疼痛和吞咽困难。颈部和胸部影像学检查显示右颈静脉血栓形成以及肺部脓毒性栓子。从扁桃体周围脓肿引流的血液和脓液培养出 菌。在本研究中，我们阐述了使用抗生素、抗凝剂以及脓肿穿刺抽吸对勒米尔综合征进行有效管理的方法。
