Lemierre syndrome complicated by bronchopleural fistula.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
N Kodaka, C Nakano, T Oshio, H Matsuse
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引用次数: 0

Abstract

We present a 19-year-old woman, a case of Lemierre syndrome, who presented with fever, sore throat, and left shoulder pain. Imaging revealed a thrombus in the right internal jugular vein, multiple nodular shadows below both pleura with some cavitations, right lung necrotizing pneumonia, pyothorax, abscess in the infraspinatus muscle, and multiloculated fluid collections in the left hip joint. After inserting a chest tube and administering urokinase for the pyothorax, a bronchopleural fistula was suspected. The fistula was identified based on clinical symptoms and computed tomography scan findings. If a bronchopleural fistula is present, thoracic lavage should not be performed as it may cause complications such as contralateral pneumonia due to reflux.

勒米尔综合征并发支气管胸膜瘘。
我们为您介绍一名 19 岁女性莱米埃尔综合征患者,她因发热、咽喉痛和左肩疼痛而就诊。影像学检查显示右颈内静脉有血栓,双侧胸膜下方有多个结节状阴影,并伴有一些空洞,右肺坏死性肺炎,脓胸,冈下肌脓肿,左髋关节有多发性积液。在插入胸管并使用尿激酶治疗脓胸后,怀疑出现了支气管胸膜瘘。瘘管是根据临床症状和计算机断层扫描结果确定的。如果存在支气管胸膜瘘,则不应进行胸腔灌洗,因为这可能会导致并发症,如因反流而引起的对侧肺炎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Postgraduate Medicine
Journal of Postgraduate Medicine 医学-医学:内科
CiteScore
2.00
自引率
0.00%
发文量
76
审稿时长
40 weeks
期刊介绍: The journal will cover technical, clinical and bioengineering studies related to human well being including ethical and social issues. The journal gives preference to clinically oriented studies over experimental and animal studies. The Journal would publish peer-reviewed original research papers, case reports, systematic reviews, meta-analysis, and debates.
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