UNASSIGNED: A 68-year-old male with nasopharyngeal carcinoma (squamous cell carcinoma) underwent HN-PIT after local recurrence with chemoradiation therapy. Three months after HN-PIT, the patient developed fever and neck pain, which led to a diagnosis of Lemierre\'s syndrome. The patient was treated with antibiotics and anticoagulants for at least 1 month. The patient\'s general condition and inflammatory findings on blood sampling showed gradual improvement, and a follow-up cervicothoracic computed tomography imaging showed that the venous thrombus had been obscured and the patient was doing well.
UNASSIGNED: HN-PIT is a high-risk procedure for the development of Lemierre\'s syndrome due to irradiation-induced mucositis, and anticipating the development of Lemierre\'s syndrome during HN-PIT is important.
■一名68岁男性鼻咽癌(鳞状细胞癌)患者在局部复发并接受放化疗后接受HN-PIT治疗。HN-PIT后三个月,病人出现发热和颈部疼痛,这导致了Lemierre综合征的诊断。患者接受抗生素和抗凝剂治疗至少1个月。患者的一般情况和血液取样的炎症表现逐渐改善,随访的颈胸计算机断层扫描成像显示静脉血栓已被掩盖,患者病情良好。
■HN-PIT是由辐射引起的粘膜炎引起的Lemierre综合征发展的高风险程序,预测HN-PIT期间Lemierre综合征的发展很重要。