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相關文獻
- Lemierre's Syndrome Caused by Viridans Streptococci: A Case Report
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題 名 | Lemierre's Syndrome Caused by Viridans Streptococci: A Case Report=Viridans Streptococci引起之Lemierre氏症候群:一病例報告 |
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作 者 | 蔡孟憲; 黃子秋; 劉建衛; | 書刊名 | 微免與感染雜誌 |
卷 期 | 32:2 1999.06[民88.06] |
頁 次 | 頁126-128 |
分類號 | 414.83 |
關鍵詞 | Lemierre氏症候群; Lemierre's syndrome; Viridans streptococci; Jugular vein thrombophlebitis; |
語 文 | 英文(English) |
中文摘要 | 53歲男性病人,主訴發燒、畏寒及在左下顎沿著胸鎖乳突肌有個逐漸變大的腫塊 達一個月之久。 胸部 X 光顯示右上肺野有兩個結節狀陰影。頭頸部電腦斷層影像顯示左咽 部外側軟組織嚴重壞疽,且左內頸靜脈完全栓塞。 由血液及壞疽組織同時培養出 viridans streptococci。 此病人臨床表現為典型之 Lemierre 氏症候群,然其致病菌卻是 viridans streptococci,此外,病人的年齡也較以前文獻所提者為大。此病例顯示,任何年齡層的病 人一旦口腔正常黏膜受損,即使是口咽部的正常菌叢也可以因此侵入附近的軟組織,造成嚴 重感染。 |
英文摘要 | A 53-year-old man had fever, chills, and a progressively enlarged mass over the left-mandibular angle for one month. A chest radiograph showed two small nodules in the upper righ lung field. A contrast-medium-enhanced head-and-neck computed tomograph revealed severe necrosis within the left lateral pharyngeal space and total obliteration of the left internal jugular vein. Viridans streptococci were identified in the blood culture and the debrided tissue culture 2 days post-admission. The presentations were characteristic of Lemierre's syndrome and were evident in this case, however, the causative agent was viridans streptococci and the host was much older than the others previously reported. The normal flora of the oropharynx could become a fatal bacterium when the intact mucosal barrier of the mouth is impaired, regardless of the patient's age. |
本系統中英文摘要資訊取自各篇刊載內容。