Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Lemierre Syndrome Associated with Septic Pulmonary Emboli

패혈성 폐색전증을 동반한 Lemierre 증후군 1예

  • Kim, Eun-Jin (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Park, Jae-Hyoung (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Kim, Chang Ho (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Park, Jae Yong (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Jung, Tae Hoon (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Cha, Seung Ick (Department of Internal Medicine, School of Medicine, Kyungpook National University)
  • 김은진 (경북대학교 의과대학 내과학교실) ;
  • 박재형 (경북대학교 의과대학 내과학교실) ;
  • 김창호 (경북대학교 의과대학 내과학교실) ;
  • 박재용 (경북대학교 의과대학 내과학교실) ;
  • 정태훈 (경북대학교 의과대학 내과학교실) ;
  • 차승익 (경북대학교 의과대학 내과학교실)
  • Received : 2004.10.27
  • Accepted : 2004.12.14
  • Published : 2005.01.30
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Abstract

Lemierre syndrome is characterized by an acute oropharyngeal infection with secondary septic thrombophlebitis of the internal jugular vein and frequent metastatic infections such as septic pulmonary emboli and suppurative arthritis. In the preantibiotic era, this condition generally had a fatal outcome. The presentation is so distinctive that a clinical diagnosis is possible in most cases, and a cure is expected with the appropriate therapy in the majority of patients. We present a case report of Lemierre syndrome with a review of the relevant literature.

Lemierre 증후군은 인두염 후에 이차적인 내경정맥의 혈전정맥염, 다음 단계로 폐나 관절에 전이감염을 특징으로 한다. 항생제 사용 이전에는 비교적 흔한 질환이었으나 항생제 보급 이후로 드물게 보고 되고 있어서 진단이 지연되고 적절한 치료가 이루어지지 않으면 치명적인 경과를 취할 수 있다. 최근 전형적인 Lemierre 증후군의 임상양상을 보였던 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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