Lemierre症候群と考えられたFusobacterium necrophorum敗血症の1例

症例は58歳,男性.咽頭炎発症後,左肩痛が出現し,全身倦怠感のため入院となった.左鎖骨周囲にガス壊疽を来し, CT検査で骨髄炎,肝膿瘍,敗血症性肺塞栓を認めた.血液培養よりFusobacterium necrophorumが検出され,抗生剤投与,皮膚切開を行い改善した.咽頭炎から内頸静脈の敗血症性血栓性静脈炎を来し,全身に転移性感染を呈する病態はLemierre症候群と呼ばれる.本症例はその特徴的な経過より同症候群と考えられた....

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Published in日本内科学会雑誌 Vol. 92; no. 12; pp. 2415 - 2416
Main Authors 林, 洋, 天川, 孝則, 小野澤, 祐輔, 川満, 久恵, 中下, 彩子
Format Journal Article
LanguageJapanese
Published 一般社団法人 日本内科学会 10.12.2003
Subjects
Lemierre症候群(頸静脈敗血症性静脈炎)
嫌気性菌感染症ガス壊疽
Online AccessGet full text
ISSN0021-5384
1883-2083
DOI10.2169/naika.92.2415

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Abstract 症例は58歳,男性.咽頭炎発症後,左肩痛が出現し,全身倦怠感のため入院となった.左鎖骨周囲にガス壊疽を来し, CT検査で骨髄炎,肝膿瘍,敗血症性肺塞栓を認めた.血液培養よりFusobacterium necrophorumが検出され,抗生剤投与,皮膚切開を行い改善した.咽頭炎から内頸静脈の敗血症性血栓性静脈炎を来し,全身に転移性感染を呈する病態はLemierre症候群と呼ばれる.本症例はその特徴的な経過より同症候群と考えられた.
AbstractList 症例は58歳,男性.咽頭炎発症後,左肩痛が出現し,全身倦怠感のため入院となった.左鎖骨周囲にガス壊疽を来し, CT検査で骨髄炎,肝膿瘍,敗血症性肺塞栓を認めた.血液培養よりFusobacterium necrophorumが検出され,抗生剤投与,皮膚切開を行い改善した.咽頭炎から内頸静脈の敗血症性血栓性静脈炎を来し,全身に転移性感染を呈する病態はLemierre症候群と呼ばれる.本症例はその特徴的な経過より同症候群と考えられた.
Author 小野澤, 祐輔
川満, 久恵
天川, 孝則
中下, 彩子
林, 洋
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References 1) Lemierre A: On certain septicemias due to anaerobic organisms. Lancet 1: 701-703, 1936.
2) Rafael G, et al: Lemierre's syndrome (necrobacillosis). Postgrad Med J 75: 141-144, 1999.
5) Jon SB: Fusobacterium necrophorum infections in man. Reviews in medical microbiology 13: 141-149, 2002.
3) Moore BA, et al: Bilateral Lemierre's syndrome: a case report and literature review. Ear Nose' Throat J 81: 234-236, 2002.
4) Edward DC, et al: Lemierre's syndrome: Review of the English literature over the past 25 years. Clin Pulm Med 6: 333-338, 1999.
References_xml – reference: 1) Lemierre A: On certain septicemias due to anaerobic organisms. Lancet 1: 701-703, 1936.
– reference: 3) Moore BA, et al: Bilateral Lemierre's syndrome: a case report and literature review. Ear Nose' Throat J 81: 234-236, 2002.
– reference: 2) Rafael G, et al: Lemierre's syndrome (necrobacillosis). Postgrad Med J 75: 141-144, 1999.
– reference: 4) Edward DC, et al: Lemierre's syndrome: Review of the English literature over the past 25 years. Clin Pulm Med 6: 333-338, 1999.
– reference: 5) Jon SB: Fusobacterium necrophorum infections in man. Reviews in medical microbiology 13: 141-149, 2002.
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Snippet 症例は58歳,男性.咽頭炎発症後,左肩痛が出現し,全身倦怠感のため入院となった.左鎖骨周囲にガス壊疽を来し, CT検査で骨髄炎,肝膿瘍,敗血症性肺塞栓を認めた.血液培...
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SubjectTerms Lemierre症候群(頸静脈敗血症性静脈炎)
嫌気性菌感染症ガス壊疽
Title Lemierre症候群と考えられたFusobacterium necrophorum敗血症の1例
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