FUSOBACTERIUM SEPTICEMIA COMPLICATED BY CEREBRAL SUBDURAL AND EPIDURAL EMPYEMAS: A RARE CASE OF LEMIERRE SYNDROME

被引：12

作者：

Teng, Hao-Wen ^{[2
]}

Chen, Chia-Yuen ^{[3
]}

Chen, Huan-Chieh ^{[4
]}

Chung, Wen-Ting ^{[2
]}

Lee, Wen-Sen ^{[1
]}

机构：

[1] Taipei Med Univ, Wan Fang Hosp, Dept Infect Dis, Taipei 116, Taiwan

[2] Taipei Med Univ, Wan Fang Hosp, Dept Neurol, Taipei 116, Taiwan

[3] Taipei Med Univ, Wan Fang Hosp, Dept Radiol, Taipei 116, Taiwan

[4] Taipei Med Univ, Wan Fang Hosp, Dept Neurosurg, Taipei 116, Taiwan

来源：

JOURNAL OF EMERGENCY MEDICINE | 2012年 / 43卷 / 04期

关键词：

Lemierre syndrome; subdural empyema; epidural empyema; internal jugular vein thrombophlebitis; central nervous system; THROMBOSIS;

D O I：

10.1016/j.jemermed.2010.04.033

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: Lemierre syndrome is characterized by postanginal septicemia and internal jugular vein thrombophlebitis with secondary septic emboli, typically to the lungs. The central nervous system (CNS) is rarely involved. Objective: To present a case of Lemierre syndrome featuring cerebral subdural and epidural empyemas. Case Report: This case report describes the case of a 17-year-old youth with cerebral subdural and epidural empyemas. The findings of chest computed tomography of the neck and the blood cultures were compatible with Lemierre syndrome. The patient recovered well after antibiotic treatment and surgical debridement. Conclusion: Lemierre syndrome can result in infection spreading to the CNS, including cerebral subdural and epidural empyemas. This disease entity should be included in the differential diagnoses of CNS bacterial infections. (C) 2012 Elsevier Inc.

引用

页码：671 / 673

页数：3

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