摘要
Lemierre徵候群在這抗生素普遍使用的時代非常罕見。它是一種急性口咽部感染合併敗血性之內頸靜脈血栓靜脈炎，且時常會轉移。此疾病通常侵犯年輕人。典型之臨床特徵為咽喉炎，頸部腫脹且疼痛及肺部有浸潤。我們報告一例23歲男性病患，起初住院是因高血壓危症及鬱血性心衰竭。診斷是依據臨床症狀，頸部之超音波及電腦斷層。經過抗生素及抗凝血劑投予之後，此疾病已成功地被治療。此類病例國外文獻報告1990年代有增加之趨勢，主要和臨床醫師被鼓勵減少抗生素治療咽喉炎有關，而台灣醫療體系目前積極限制臨床醫師上呼吸道感染使用抗生素有年，可能增加此類病例，因此藉由本病例提醒臨床醫師注意。
關鍵字
無資料並列摘要
Lemierre's syndrome, which has been uncommon in the antimicrobial era, is an acute oropharyngeal infection with secondary septic thrombophlebitis of the internal jugular vein and frequent metastatic infections. This disease usually affects young adults. A typical clinical triad is pharyngitis, a tender, swollen neck, and pulmonary infiltration. We present a case of Lemierre's syndrome in a 23-year-old man who was admitted for hypertensive crisis and congestive heart failure. Diagnosis was made on clinical features, Doppler ultrasonography and computed tomography of the neck. Through antibiotic and anticoagulant therapy, the disease was treated successfully. Similar cases have been reported elsewhere throughout the 1990's, and may be increasing in incidence due to a reduced use of antibiotics for the treatment of pharyngitis. Since limitations to antibiotic use in the treatment of upper respiratory infections are growing annually at present in the Taiwanese medical system, this kind of case may become more frequent. Therefore, we hope this case will attract clinicians' attention.
延伸閱讀
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