Kawai Yosuke, Nishiyama Kei
Advanced Emergency and Critical Care Center Niigata University Medical and Dental Hospital Niigata City Niigata Japan.
J Gen Fam Med. 2024 Jun 14;25(5):274-276. doi: 10.1002/jgf2.708. eCollection 2024 Sep.
Lemierre's syndrome is a fatal condition characterized by septic thrombophlebitis of the internal jugular vein (IJV). Early diagnosis of Lemierre's syndrome in primary care remains challenging because of its rarity and common initial symptoms like fever and sore throat. The COVID-19 pandemic has increased the difficulty of diagnosis, along with many diagnostic delays. Herein, we report a case in which an IJV thrombus was detected using point-of-care ultrasound (POCUS), leading to the diagnosis of Lemierre's syndrome. During the COVID-19 pandemic, POCUS was a simple and noninvasive technique for screening Lemierre's syndrome without radiation and low droplet exposure.
勒米尔综合征是一种以颈内静脉脓毒性血栓形成炎为特征的致命疾病。由于其罕见性以及发热和喉咙痛等常见初始症状，在初级医疗保健中对勒米尔综合征进行早期诊断仍然具有挑战性。COVID-19大流行增加了诊断难度，同时导致了许多诊断延误。在此，我们报告一例通过床旁超声（POCUS）检测到颈内静脉血栓，从而诊断为勒米尔综合征的病例。在COVID-19大流行期间，POCUS是一种简单且无创的技术，可用于筛查勒米尔综合征，无辐射且飞沫暴露风险低。
