莱米尔综合征:面纱背后的诊断。

IF 1 Q4 INFECTIOUS DISEASES
Pak-Ho Au, Kelechi Nwabara, Nanuli Gvazava, Shannon Ejiofor, Ghulam Ghous
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引用次数: 1

摘要

Lemierre综合征(LS)是一种罕见的严重感染,经常被误诊,因为它经常模仿常见的上呼吸道感染。更罕见的是,LS之前有病毒感染。我们分享了一位年轻男性的LS病例,他因COVID-19病毒感染而到急诊室就诊,随后被诊断为LS。尽管接受了COVID-19治疗,但患者的病情最初恶化,随后开始使用广谱抗生素。血液培养培养出坏死梭杆菌后被诊断为LS,并相应调整抗生素,症状得到改善。虽然LS通常被认为是细菌性咽炎的后遗症,但之前的病毒感染(包括COVID-19)可能是导致LS发展的危险因素。
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: A Diagnosis behind the Veil.

Lemierre Syndrome: A Diagnosis behind the Veil.

Lemierre Syndrome: A Diagnosis behind the Veil.

Lemierre syndrome (LS) is a rare, serious infection that is often misdiagnosed, as it frequently mimics common upper respiratory infections. It is even rarer for LS to be preceded by a viral infection. We share a case of LS in a young man who presented to the Emergency Department with COVID-19 viral infection followed by a subsequent LS diagnosis. The patient's condition initially worsened despite treatments for COVID-19 and was subsequently started on broad-spectrum antibiotics. He was then diagnosed with LS after blood cultures grew Fusobacterium necrophorum, and antibiotics were adjusted accordingly, resulting in improvement of symptoms. Even though LS is often recognized as a sequela of bacterial pharyngitis, preceding viral infections, including COVID-19, might be a risk factor that contributes to the development of LS.

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