Early Diagnosis of Lemierre's Syndrome Based on a Medical History and Physical Findings
スポンサーリンク
概要
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A 37-year-old woman presented with fever and rigor after experiencing respiratory symptoms the previous week that had resolved within a few days. On presentation, her neck was swollen along the right sternocleidomastoid muscle, and chest CT showed pulmonary septic embolisms. Lemierre's syndrome was strongly suspected based on the patient's medical history and physical findings. Further examination revealed venous thrombus, and Fusobacterium necrophorum was later isolated from blood cultures. Antibiotics for anaerobes were administered before a final diagnosis was made, and the patient's symptoms thereafter improved. A rapid diagnosis is essential, since Lemierre's syndrome can be fatal with a diagnostic delay.
著者
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Murata Yutaka
General Internal Medicine, Fukuchiyama City Hospital, Japan
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Wada Mikio
General Internal Medicine, Fukuchiyama City Hospital, Japan
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Kawashima Atsushi
General Internal Medicine, Fukuchiyama City Hospital, Japan
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Kagawa Keizo
General Internal Medicine, Fukuchiyama City Hospital, Japan