A Case of Acute Necrotizing Fasciitis Following Internal Jugular Vein Thrombophlebitis: Lemierre’s Syndrome
김현정, Besana Aaron, 임호경, 장현석, 박동석, 이의석,
소속 상세정보
김현정 ( Kim Hyun-Jung ) - Korea University Department of Oral and Maxillofacial Surgery
( Besana Aaron ) - Korea University Department of Oral and Maxillofacial Surgery
임호경 ( Lim Ho-Kyung ) - Korea University Department of Oral and Maxillofacial Surgery
장현석 ( Jang Hyon-Seok ) - Korea University Department of Oral and Maxillofacial Surgery
박동석 ( Park Dong-Suk ) - National Academy of Agricultural Science Department of Agricultural Biotechnology
이의석 ( Lee Eui-Seok ) - Korea University Department of Oral and Maxillofacial Surgery
KMID : 1146620170060020073
Abstract
Lemierre’s syndrome is caused by preexisting oropharyngeal infection and characterized by internal jugular vein (IJV) thrombophlebitis. Frequently, this syndrome involves metastatic infection in areas such as the peritoneum, muscles, and spleen. The most common etiologic organism is Fusobacterium necrophorum. In this case, a masticatory space abscess that originated from a tooth caused the IJV thrombophlebitis. The patient had preexisting hypertension, diabetes mellitus, hyperlipidemia, and Parkinson’s disease. Blood culture revealed Streptococcus sanguinis, and the patient received antibiotics that were highly sensitive to mentioned bacterium; additionally, an anticoagulant was used. With the widespread use of antibiotics, Lemierre’s syndrome has become uncommon, and related mortality rates have noticeably decreased. This has led the public to forget about the disease, but it can still be potentially fatal without early diagnosis and ppropriate antibiotic treatment.
키워드
Lemierre’s syndrome; Internal jugular vein; Thrombophlebitis
원문 및 링크아웃 정보
등재저널 정보