Lemierre's Syndrome, an Easily-Misdiagnosed but Fatal Infectious Disease: A Case Report

雷米爾氏症，少見卻可能致命的感染症：病例報告

Hsiang-ling Lin(林湘玲) ； Chang-Pan Liu(劉昌邦)

《內科學誌》 34卷2期 (2023/04) Pp. 124-129

https://doi.org/10.6314/JIMT.202304_34(2).07

摘要

Lemierre's syndrome usually developes after an episode of acute upper respiratory infection. Fever, sore throat and neck pain are not specific symptoms and are usually treated as acute pharyngitis or tonsillitis. However, septic thrombophlebitis of the internal jugular vein with septic emboli that cause metastatic infections may make this disease complicated and fatal. We present a 28-year-old man who was initially diagnosed with acute tonsillitis and suspect EBV infection. After further evaluations, he was finally diagnosed with Lemierre's syndrome and was treated successfully.

關鍵字

Acute tonsillitis ； Fusobacterium necrophorum ； Internal jugular vein septic thrombophlebitis ； Infectious mononucleosis ； Lemierre's syndrome ； Metastatic infections

並列摘要

雷米爾氏症通常伴隨上呼吸道感染後發生。發燒、喉嚨及脖子疼痛容易被誤判為急性咽喉炎或扁桃腺炎，但感染性靜脈炎伴隨敗血性血栓造成全身各系統的轉移感染有可能發生，會轉變成致命且棘手的感染症。我們報告一位28歲年輕男性一開始被診斷為急性扁桃腺炎並懷疑EB病毒感染，但隨後影像學表現及細菌學培養結果被診斷為雷米爾氏症。希望我們的診斷與治療經驗能提供各位臨床醫師參考。