PDF(Pubmed)
Abstract：
Lemierre syndrome is a rare complication of oropharyngeal infection that causes septic thrombophlebitis in the internal jugular vein. Since the onset of the COVID-19 pandemic, this condition has been dangerously overlooked and poses an even greater threat when complicated by vascular pathologies. A case is presented where the patient required emergency endovascular exclusion of a right internal carotid artery pseudoaneurysm due to Lemierre syndrome. The treatment included stent graft placement and drainage of a neck abscess, along with appropriate antibiotic treatment during hospitalization. Recognizing this diagnosis requires a high index of suspicion, particularly during the COVID-19 pandemic. The complexity of the disease necessitates extensive multidisciplinary collaboration for effective treatment.
摘要：
Lemierre综合征是一种罕见的口咽部感染并发症，可导致颈内静脉化脓性血栓性静脉炎。自从COVID-19大流行爆发以来，这种情况被危险地忽视了，当血管病变复杂化时，这种情况会带来更大的威胁。出现了一例患者由于Lemierre综合征而需要紧急血管内排除右颈内动脉假性动脉瘤的病例。治疗包括支架植入术和颈部脓肿引流，以及住院期间适当的抗生素治疗。认识到这种诊断需要高度怀疑，特别是在COVID-19大流行期间。疾病的复杂性需要广泛的多学科合作才能有效治疗。
