The co-existence of Lemierre's syndrome and Bezold's abscesses due to Streptococcus constellatus: A case report.
The co-existence of Lemierre's syndrome and Bezold's abscesses due to Streptococcus constellatus: A case report.
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DOI：
10.1097/md.0000000000011228
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发表时间：
2018-06
期刊：
影响因子：
1.6
通讯作者：
Watanabe H
中科院分区：
文献类型：
--
作者：
Yaita K;Sugi S;Hayashi M;Koga T;Ebata T;Sakai Y;Kaieda S;Ida H;Watanabe H
古老的传染病，Lemierre综合征和Bezold脓肿是罕见的。一名患有15年帕金森病史的70岁日本女性因发烧、枕部头痛和双侧肩部疼痛持续三个月而转诊至我院。由于诊断为风湿性多肌痛，给她开了泼尼松龙。血培养显示星座链球菌菌血症。此外，计算机断层扫描显示Bezold的乳房和Lemierre综合征。我们给予头孢曲松31天，然后口服阿莫西林。患者痊愈，疼痛改善。这个病例强调了血培养试验和交叉参考放射成像在诊断这些罕见的类似风湿性多肌痛的严重传染病中的重要性。
The ancient infectious diseases, Lemierre's Syndrome and Bezold's Abscesses are rare. A 70-year-old Japanese woman with a 15-year history of Parkinson's disease was referred to our hospital due to fever, occipital headache and bilateral shoulder pain that had continued for three months. She had been prescribed prednisolone due to a diagnosis of polymyalgia rheumatica. A blood culture revealed bacteremia of Streptococcus constellatus. In addition, computed tomography revealed Bezold's abscesses and Lemierre's syndrome. We administered ceftriaxone for 31 days, followed by oral amoxicillin. The patient recovered and the abscesses improved. This case underscores the importance of blood culture tests and cross-referencing with radiological imagings in the diagnoses of these rare critical infectious diseases that mimic polymyalgia rheumatica.