Cerebral infarctions and brain abscess due to Lemierre syndrome

Cerebral infarctions and brain abscess due to Lemierre syndrome
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DOI:
10.2169/internalmedicine.44.653
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发表时间:
2005-06-01
期刊:
影响因子:
1.2
通讯作者:
Onishi, Y
Onishi, Y
中科院分区:
医学4区
文献类型:
--
作者:
Warabi, YS;Yoshikawa, H;Onishi, Y

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Lemierre综合征的特征是头部和颈部的厌氧菌感染,引起颈静脉血栓性静脉炎和各种远端器官的脓毒性转移,最常见的是肺。在这里,我们描述了以前未报告的临床特点,脑梗死和脑脓肿,由于转移性脓毒性栓塞这种罕见的,但致命的综合征,并成功的治疗过程中,氨苄西林,头孢噻肟和甲硝唑。
Lemierre syndrome is characterized by anaerobic bacterial infection in the head and neck, causing thrombophlebitis of the jugular vein and septic metastasis to various distant organs, most often the lungs. Here we describe previously unreported clinical features of cerebral infarctions and brain abscess due to metastatic septic embolism of this uncommon but lethal syndrome, and the successful course of treatment with ampicillin, cefotaxime and metronidazole.