ID | 63290 |
タイトル(別表記) | Lemierre's syndrome following peritonsillar abscess : A case report
|
フルテキストURL | |
著者 |
梶原 壮平
国立病院機構岡山医療センター耳鼻咽喉科
石原 久司
岡山赤十字病院耳鼻咽喉科
假谷 彰文
岡山赤十字病院耳鼻咽喉科
秋定 直樹
国立病院機構四国がんセンター頭頸科
茂原 暁子
国立病院機構岡山医療センター耳鼻咽喉科
佐藤 晶
国立病院機構岡山医療センター耳鼻咽喉科
濵田 浩司
国立病院機構岡山医療センター耳鼻咽喉科
赤木 祐介
国立病院機構岡山医療センター耳鼻咽喉科
|
抄録 | Lemierre's syndrome is a disorder in which bacterial infection of the head and neck region leads to thrombosis of the internal jugular vein ; left untreated, this condition can also result in metastatic infections in the lungs and joints as well as bacterial sepsis. An early diagnosis and treatment are important for preventing these pathologic outcomes. We herein report the case of a 30-year-old male with internal jugular vein thrombosis secondary to a peritonsillar abscess accompanied by septic emboli in the lung. The criteria proposed by Yamamoto and Sugiura et al. were used to facilitate a rapid diagnosis of his condition prior to obtaining results from blood cultures. While Lemierre's syndrome is a fairly uncommon diagnosis at this time, its incidence has been increasing given the current pressure to limit the use of antibiotics. Antimicrobial use is currently restricted in Japan due to efforts designed to curb the emergence of drug resistance; as such, we may begin to see more cases of this disease. Although rare, some patients with infection of the head and neck region do develop Lemierre's syndrome ; as such, frequent follow-up of all cases of acute pharyngitis is necessary, notably for those patients not treated with antimicrobial agents.
|
キーワード | Lemierre's syndrome
Fusobacterium necrophorum
Antimicrobial Resistance
扁桃周囲膿瘍
耳鼻咽喉科救急
|
発行日 | 2021-03-20
|
出版物タイトル |
耳鼻と臨床
|
巻 | 67巻
|
号 | 2号
|
出版者 | 耳鼻と臨床会
|
開始ページ | 112
|
終了ページ | 117
|
ISSN | 0447-7227
|
NCID | AN00107114
|
資料タイプ |
学術雑誌論文
|
言語 |
日本語
|
OAI-PMH Set |
岡山大学
|
著作権者 | © 2021 耳鼻と臨床会
|
論文のバージョン | publisher
|
DOI | |
関連URL | isVersionOf https://doi.org/10.11334/jibi.67.2_112
|