PDF(Pubmed)
Abstract：
A healthy man in his late 20s was admitted to the emergency department due to a flare-up in his severe chronic stomatitis, along with flu-like symptoms. CXR showed multiple bilateral consolidations and subsequent CT revealed thrombosis of the left facial and internal jugular vein, together with septic embolism in both lungs. Blood cultures showed penicillin-susceptible Staphylococcus aureus The patient was diagnosed with Lemierre\'s syndrome, despite atypical bacteria and clinical presentation. During hospitalisation, he developed pulmonary empyema as a complication and was admitted for 4 weeks. During hospitalisation and after discharge, the patient was examined for multiple rheumatic, immunological and dermatological diseases, but no underlying cause for Lemierre\'s syndrome has been found. We present this case due to the rarity of its nature, with atypical clinical presentation and pathogen for Lemierre\'s syndrome, but with classic radiological findings.
摘要：
一名20多岁的健康男子因严重的慢性口腔炎发作而被送往急诊科，还有流感样症状.CXR显示多个双侧合并，随后的CT显示左面部和颈内静脉血栓形成，两肺都有感染性栓塞.血培养显示青霉素敏感的金黄色葡萄球菌患者被诊断为Lemierre综合征，尽管非典型细菌和临床表现。住院期间,他因并发症出现肺脓胸，入院4周。住院期间和出院后，患者接受了多发性风湿病检查，免疫学和皮肤病，但没有发现Lemierre综合征的根本原因。由于其性质的稀有性，我们提出了这个案例，具有Lemierre综合征的非典型临床表现和病原体，但是有经典的放射学发现。
