发热、喉咙痛和腹痛--与一种 "被遗忘 "疾病的关联:非典型勒米尔氏综合征病例报告

Taniya Yasmin, Sara Glazer, Breanna A. Chen, Farah Abdulsatar
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摘要

勒米尔综合征(Lemierre's Syndrome,LS)是一种罕见但可能危及生命的口咽部感染病。其特征是颈内静脉化脓性血栓性静脉炎和播散转移性脓肿。不过,也有非典型表现,血栓形成和扩散部位不寻常的报道。作者介绍了一例以前健康的 17 岁男性 LS 非典型表现病例。该病例强调,在口咽部感染后出现不明原因的败血症时,需要高度怀疑并进行全面检查,因为LS可能有非典型表现和潜在的危及生命的并发症。鉴于这种非典型表现,LS的传统定义可能需要重新评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fever, Sore Throat, and Abdominal Pain – Connecting the Dots to a ‘Forgotten’ Disease: A Case Report of Atypical Lemierre’s Syndrome
Lemierre’s syndrome (LS) is a rare but potentially life-threatening condition resulting from oropharyngeal infections. It is characterised by septic thrombophlebitis of the internal jugular vein and disseminated metastatic abscesses. However, atypical presentations with unusual sites of thrombosis and spread have been reported. The authors present a case of LS with an atypical presentation in a previously healthy 17-year-old male. This case highlights the need for a high level of suspicion, and comprehensive investigation in cases of unexplained sepsis following oropharyngeal infections, as LS can have atypical presentations and potentially life-threatening complications. The traditional definition of LS may need to be re-evaluated in light of such atypical manifestations.
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