The co-existence of Lemierre's syndrome and Bezold's abscesses due to Streptococcus constellatus

被引：13

作者：

Yaita, Kenichiro ^{[1
]}

Sugi, Suzuna ^{[2
]}

Hayashi, Makiko ^{[2
]}

Koga, Takuma ^{[2
]}

Ebata, Tomohiro ^{[3
,4
]}

Sakai, Yoshiro ^{[1
,5
]}

Kaieda, Shinjiro ^{[2
]}

Ida, Hiroaki ^{[2
]}

Watanabe, Hiroshi ^{[1
]}

机构：

[1] Kurume Univ, Sch Med, Dept Infect Control & Prevent, Kurume, Fukuoka, Japan

[2] Kurume Univ Hosp, Dept Med, Div Respirol Neurol & Rheumatol, Kurume, Fukuoka, Japan

[3] Kurume Univ Hosp, Dept Radiol, Kurume, Fukuoka, Japan

[4] Kurume Univ Hosp, Ctr Diagnost Imaging, Kurume, Fukuoka, Japan

[5] Kurume Univ Hosp, Dept Pharm, Kurume, Fukuoka, Japan

来源：

MEDICINE | 2018年 / 97卷 / 26期

基金：

日本学术振兴会;

关键词：

Bezold's abscess; Lemierre's syndrome; polymyalgia rheumatica; Streptococcus constellatus; SEPSIS;

D O I：

10.1097/MD.0000000000011228

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Rationale: The ancient infectious diseases. Lemierre's Syndrome and Bezold's Abscesses are rare. Patient concerns: A 70-year-old Japanese woman with a 15-year history of Parkinson's disease was referred to our hospital due to fever, occipital headache and bilateral shoulder pain that had continued for three months. She had been prescribed prednisolone due to a diagnosis of polymyalgia rheumatica. Diagnoses: A blood culture revealed bacteremia of Streptococcus constellatus. In addition, computed tomography revealed Bezold's abscesses and Lemierre's syndrome. Interventions: We administered ceftriaxone for 31 days. followed by oral amoxicillin. Outcomes: The patient recovered and the abscesses improved. Lessons: This case underscores the importance of blood culture tests and cross-referencing with radiological imagings in the diagnoses of these rare critical infectious diseases that mimic polymyalgia rheumatica. Abbreviation: PMR = polymyalgia rheumatica.

引用

页数：4

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