Lemierre 症候群例 A Case of Lemierre Syndrome

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We present a case of Lemierre syndrome characterized by thrombophlebitis of the internal jugular vein with multiple septic emboli to the lung caused by peritonsillar abscess.<br>A 67-year-old male was admitted with progressive fever and sore throat caused by peritonsillar abscess. Despite drainage of the peritonsillar abscess and antibiotic therapy with imipenem following cefozopran, his condition worsened, and he presented with swelling, pain, and erythema of the right side of the neck. Contrast-enhanced computed tomography (CT) of the neck demonstrated thrombosis of the right internal jugular vein. CT scan of the thorax showed bilateral multiple septic emboli. Based on these findings, a diagnosis of Lemierre syndrome was made. The patient was treated with clindamycin and heparin in addition to imipenem and recovered slowly.<br>Lemierre syndrome is one of the complications of acute tonsillitis or peritonsillar abscess, which causes thrombophlebitis of the internal jugular vein, leading to metastatic abscess, septic emboli, and significant mortality. Lemierre syndrome should be considered in cases of acute tonsillitis or peritonsillar abscess because the frequency of this syndrome is increasing.

収録刊行物

  • 耳鼻咽喉科臨床  

    耳鼻咽喉科臨床 101(6), 473-477, 2008-06-01 

    The Society of Practical Otolaryngology

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各種コード

  • NII論文ID(NAID)
    10021294883
  • NII書誌ID(NCID)
    AN00107089
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00326313
  • NDL 記事登録ID
    9531884
  • NDL 雑誌分類
    ZS43(科学技術--医学--耳鼻咽喉科学)
  • NDL 請求記号
    Z19-421
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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