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비전형 양상을 보인 레미에르증후군

Lemierre’s Syndrome Presenting with Atypical Features

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초록

Lemierre’s syndrome is characterized by anaerobic bacterial infection in the head and neck, causing thrombophlebitis of the jugular vein. This disease is usually associated with a history of pharyngitis. The most common pathogens are Fusobacterium species, particularly Fusobacterium necrophorum. Lemierre’s syndrome is seen most commonly in teenagers and young adults. We present a case report of a 67-year-old man with an atypical clinical manifestation of an uncommon pathogen in Lemierre’s syndrome with epilepsia partialis continua.

Abstract

Lemierre’s syndrome is characterized by anaerobic bacterial infection in the head and neck, causing thrombophlebitis of the jugular vein. This disease is usually associated with a history of pharyngitis. The most common pathogens are Fusobacterium species, particularly Fusobacterium necrophorum. Lemierre’s syndrome is seen most commonly in teenagers and young adults. We present a case report of a 67-year-old man with an atypical clinical manifestation of an uncommon pathogen in Lemierre’s syndrome with epilepsia partialis continua.

참고문헌 (10)

  1. Kuppalli K, "Lemierre’s syndrome due to Fusobacterium necrophorum", Lancet Infect Dis, 12, pp.808~815 (2012)
  2. Syed MI, "Lemierre syndrome:two cases and a review", Laryngoscope, 117, pp.1605~1610 (2007)
  3. Karkos PD, "Alexooulou TD, et al. Lemierre syndrome: A systematic review", Laryngoscope, 119, pp.1552~1559 (2009)
  4. Lee JW, "A case of Lemierre’s syndrome with cranial nerve palsies", J Korean Neurol Assoc, 19, pp.529~532 (2001)
  5. Lemierre A, "On certain septicemias due to anaerobic organisms", Lancet, 227, pp.701~703 (1936)
  6. Stahlman GC, "Fusobacterium osteomyelitis and pyarthrosis: a classic case of Lemierre’s syndrome", J Pediatr Orthop, 16, pp.529~532 (1996)
  7. Duong M, "Lemierre syndrome", Pediatr Emerg Care, 21, pp.589~593 (2005)
  8. Riordan T, "Human infection with Fusobacterium necrophorum (Necrobacillosis), with a focus on Lemierre’s syndrome", Clin Microbiol Rev, 20, pp.622~659 (2007)
  9. Riordan T, "Lemierre’s syndrome: more than a historical curiosa", Posgrad Med J, 80, pp.328~334 (2004)
  10. Wright WF, "Lemierre syndrome", South Med J, 105, pp.283~288 (2012)

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