Lemierre Syndrome with Blepharoptosis

• Yamaguchi Megu

  Department of Internal Medicine, Toyonaka Municipal Hospital

• Nishizawa Hitoshi

  Department of Internal Medicine, Toyonaka Municipal Hospital

• Yasumoto Taku

  Department of Radiology, Toyonaka Municipal Hospital

• Kimura Takekazu

  Department of Internal Medicine, Toyonaka Municipal Hospital

• Takeuchi Yasuo

  Department of Internal Medicine, Toyonaka Municipal Hospital

• Takeshita Akinori

  Department of Oral and Maxillofacial Surgery, Toyonaka Municipal Hospital

• Takase Toshiyuki

  Department of Oral and Maxillofacial Surgery, Toyonaka Municipal Hospital

• Fujimoto Hiroaki

  Department of Neurology, Toyonaka Municipal Hospital

• Nakano Misa

  Department of Neurology, Toyonaka Municipal Hospital

• Fukunaga Megumu

  Department of Internal Medicine, Toyonaka Municipal Hospital

抄録

A 51-year-old woman was hospitalized with a high fever, occipital pain, blepharoptosis, and trismus. Enhanced CT showed thrombophlebitis of her left cavernous sinus, maxillary vein, and multiple pulmonary nodular lesions. ¹⁸F-FDG PET/CT showed significant uptakes in the same lesions. Streptococcus constellatus was detected in her blood. Therefore, she was diagnosed as a Lemierre syndrome variant. After administration of antibiotics, all symptoms, inflammatory reactions, and thrombi disappeared. Since Lemierre syndrome has life-threatening potential, early diagnosis and initiation of appropriate therapy are important. In this case, ¹⁸F-FDG PET/CT was useful to detect the focus and extent of infection.<br>

収録刊行物

• Internal Medicine

  Internal Medicine 49 (8), 753-757, 2010

  一般社団法人 日本内科学会

キーワード

• Lemierre syndrome
• septic pulmonary embolism
• blepharoptosis
• FDG-PET

詳細情報

• CRID: 1390282679848673280
• NII論文ID: 130000251861
• DOI: 10.2169/internalmedicine.49.2779
• ISSN: 13497235
• ISSN: 09182918
• Web Site: http://www.jstage.jst.go.jp/article/internalmedicine/49/8/49_8_753/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2010265577
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可