[勒米尔综合征:不寻常,但仍有可能]。

Annales de medecine interne Pub Date : 2003-09-01
Matthieu Monge, Pierre Aubry, Charles Dayen, Isabelle Ben Taarit, Jean-Pierre Ducroix, Vladimir Strunski, Vincent Jounieaux
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引用次数: 0

摘要

Lemierre综合征是一种罕见的疾病,在抗生素时代之前是危及生命的。我们在此报告两例预后良好的病例。临床特征是典型的:扁桃体,颈部疼痛显示深静脉血栓形成,肺部脓毒性转移。血液培养中最常见的致病细菌是坏死性梭杆菌,但也可以发现其他厌氧菌。颈椎多普勒超声检查和胸椎断层密度测量是有用的。药物治疗是抗生素治疗和抗凝治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Lemierre syndrome: unusual, but still possible].

Lemierre syndrome is a rare disease, which was life-threatening before the antibiotics era. We report here two cases with favorable outcome. Clinical features are stereotypic: tonsillis, cervical pain revealing deep vein thrombosis, and pulmonary septic metastasis. The most frequent causal germ on blood cultures is Fusobacterium necrophorum but other anaerobial bacteries can be found. Cervical Doppler-ultrasonography, and thoracic tomodensitometry are useful. Medical treatment is antibiotic therapy and anticoagulation.

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