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A Case of Lemierre’s Syndrome, Misdiagnosed as a Simple Deep Neck Infection on Initial Ultrasonography Followed by an Abscess Aspiration Trial

대한두경부종양학회지 2019년 35권 2호 p.31 ~ 34
이동연 ( Lee Dong-Yun ) - 순천향대학교 의과대학 천안병원 이비인후과

김상빈 ( Kim Sang-Bin ) - 순천향대학교 의과대학 천안병원 이비인후과
반명진 ( Ban Myung-Jin ) - 순천향대학교 의과대학 천안병원 이비인후과

Abstract


Lemierre’s syndrome is rare disease characterized by anaerobic sepsis, internal jugular vein thrombosis, septic emboli that resulted from head and neck infection. Lemierre’s syndrome has significant morbidity, so immediate, accurate diagnosis and treatment is needed. It is necessary to perform contrast-enhanced computed tomography (CT) for diagnosis. Systemic antibiotics is recommended, and surgical interventions, anticoagulation may beis con-sidered for treatment. We report misdiagnosed case as a simple deep neck infection on initial ultrasonography with simultaneous abscess aspiration but finally diagnosed and treated internal jugular vein thrombophlebitis (Lemierre’s syndrome) on CT scan. We report a case of a 45-year-old patient, who was diagnosed with a simple deep neck infection and treated with simultaneous abscess aspiration, but finally diagnosed and treated internal jugular vein thrombophlebitis (Lemierre’s syndrome) on CT scan.

키워드

Lemierre’s syndrome; Internal jugular vein; Thrombophlebitis; Ultrasonography guided aspiration
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