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在一个患有莱米埃尔综合征的患者的双边形中
Hidehiro Someko1, Toshiaki Shiojiri2
1General Internal Medicine, Asahi General Hospital, Asahi, Japan someko@med.kitasato-u.ac.jp.
BMJ case reports
|July 17, 2023
概括
莱米耶尔 (Lemierre) 是一个城市.
科学领域:
- 传染性疾病 传染性疾病
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 莱米埃氏综合征是一种罕见的内静脉血栓炎,通常伴有口腔部感染.
- 常见的并发症包括肺病变,关节炎和中枢神经系统的参与.
- 腹是莱米埃氏综合征的一个非常罕见的并发症.
研究的目的:
- 报告一种罕见的双边莱米埃尔综合征病例,并有异常的并发症.
- 突出牙感染与严重的莱米埃氏综合征表现之间的关联.
- 强调识别状作为潜在并发症的重要性.
主要方法:
- 一个70多岁的女性患者的病例报告显示,她的意识下降.
- 诊断工作包括血液培养和对比度增强的头部和部CT.
- 致病细菌的鉴定:Slackia exigua和Fusobacterium物种.
主要成果:
- 该患者出现了双边内静脉血栓炎,败血性肺栓塞,额外外腹,双边腹.
- 血液培养揭示了Slackia exigua和Fusobacterium物种,表明它们具有臭虫源.
- 成功的治疗包括抗生素和手术排水.
结论:
- 虽然很少见,但在患有莱米埃氏综合征的患者中,特别是患有牙感染的患者中,应考虑采用形.
- 这一案例凸显了勒米埃尔综合征可能出现严重的多部位并发症的可能性.
- 及时诊断和管理对于有利的结果至关重要.
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