두경부 감염증에 나타난 내경정맥혈전증의 장기적 추적 결과
LEMIERRE SYNDROME: A CASE REPORT
진임건, 강문호, 황종민, 정해석, 이의룡, 명훈, 황순정, 최진영, 이종호, 정필훈, 김명진, 서병무,
소속 상세정보
진임건 ( Jin Im-Geon ) - 서울대학교 치의학대학원 구강악안면외과학교실
강문호 ( Kang Moon-Ho ) - 서울대학교 치의학대학원 구강악안면외과학교실
황종민 ( Hwang Jong-Min ) - 서울대학교 치의학대학원 구강악안면외과학교실
정해석 ( Jeong Hae-Seok ) - 서울대학교 치의학대학원 구강악안면외과학교실
이의룡 ( Lee Ui-Lyoung ) - 서울대학교 치의학대학원 구강악안면외과학교실
명훈 ( Myoung Hoon ) - 서울대학교 치과대학 구강악안면외과학교실
황순정 ( Hwang Soon-Jung ) - 서울대학교 치과대학 구강악안면외과학교실
최진영 ( Choi Jin-Young ) - 서울대학교 치과대학 구강악안면외과학교실
이종호 ( Lee Jong-Ho ) - 서울대학교 치과대학 구강악안면외과학교실
정필훈 ( Choung Pill-Hoon ) - 서울대학교 치과대학 구강악안면외과학교실
김명진 ( Kim Myung-Jin ) - 서울대학교 치과대학 구강악안면외과학교실
서병무 ( Seo Byoung-Moo ) - 서울대학교 치과대학 구강악안면외과학교실
KMID : 0355620070330030256
Abstract
Abscesses are common in the oral and maxillofacial area. However, secondary thrombosis of the internal jugular vein accompanying the primary abscess is rare. In 1936, Andre Lemeierre studied 20 patients who showed an initial oropharyngeal infection, septicemia, internal jugular vein thrombosis, and secondary spread of the infection, and after then this condition Lemierre syndrome. Clinically, these patients present with tonsilitis lasting several days, continuous fever, and cervical pain. In the past, ligation and excision of the internal jugular vein was often performed. Current therapeutic modality for this condition is appropriate antibiotic prescription and surgical drainage of abscess.
This case report presents a patient who showed symptoms of Lemierre syndrome, initiated as an oropharyngeal infection then developed thrombosis of the internal jugular vein. This patient was admitted into Seoul National University Dental Hospital. In addition to routine antibiotic therapy, surgical incision and drainage of the infection site was performed. Without ligation or excision, the thrombosed IJV disappeared eventually.
As the Lemierre syndrome is not a common disease, this case report and review of the literature would be useful regarding a treatment of patients with Lemierre syndrome.
키워드
Internal jugular thrombosis;Lemierre syndrome
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