坏死梭杆菌
医学
血栓性静脉炎
莱米尔综合征
颈内静脉
体格检查
梭杆菌
重症监护医学
血栓形成
外科
细菌
遗传学
生物
拟杆菌
作者
Mu-zhi He,Chunquan Cai,Nanshan Zhong
出处
期刊:Chinese Journal of Asthma
日期:2009-06-05
卷期号:29 (11): 688-691
标识
DOI:10.3760/cma.j.issn.1673-436x.2009.011.013
摘要
Lemierre syndrome is an acute systemic suppurative infection originating from internal jugular vein septic thrombophlebitis most commonly as sequel to oropharyngeal infection, with Fusobaeterium necrophorum as its most common pathogen. It is prone to misdiagnosis or under-diagnosis due to its lack of specific clinical manifestations, arising from multi-organ involvement. Diagnosis can be established based on positive findings of internal jugular vein septic thrombophlebitis from history collection,physical examination or imaging studies, in combination with evidence of hematogenous infection or metastatic abscesses. Early, sufficient and prolonged course of antimicrobial therapy covering anaerobic bacteria is recommended.
Key words:
Lemierre syndrome; Fusobacterium necrophorum; Diagnosis
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