Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Lemierre Syndrome with Septic Pulmonary Embolism - A case report -

패혈성 폐색전증을 동반한 Lemierre 증후군 - 1예 보고 -

  • Yoo, Dong-Gon (Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kim, Chong-Wook (Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Lee, Geun-Dong (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Ahn, Jae-Hong (Department of Diagnostic Radiology, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Park, Chong-Bin (Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • 유동곤 (울산대학교 의과대학 강릉아산병원 흉부외과학교실) ;
  • 김종욱 (울산대학교 의과대학 강릉아산병원 흉부외과학교실) ;
  • 이근동 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 안재홍 (울산대학교 의과대학 강릉아산병원 영상의학교실) ;
  • 박종빈 (울산대학교 의과대학 강릉아산병원 흉부외과학교실)
  • Published : 2007.11.05
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Abstract

Lemierre syndrome is caused by an acute oropharyngeal infection with secondary septic thrombophlebitis of the internal jugular vein and frequent metastatic infections. The usual etiologic agent is Fusobacterium necrophorum. Lemierre syndrome was a common disease with a high mortality rate in the pre-antibiotic era. Since the advent of antibiotics and their widespread use for the treatment of pharyngeal infections, there has been a substantial decrease in the incidence of this malady and it has become a "forgotten disease". Prompt diagnosis and antibiotic therapy for lemierre syndrome is essential to avoid morbidity and mortality. We describe here a case of Lemierre syndrome with multiple septic pulmonary emboli.

Lemierre 증후군은 구인두 감염증에 의해 유발되며 이차적으로 내경정맥의 패혈성 혈전정맥염이 발생하고 원격전이성 감염증이 흔하다. Fusobacterium necrophorum이 가장 흔한 원인 균주이고, 항균제의 출현 이전에는 사망률이 매우 높은 흔한 질환이었다. 항균제의 출현과 구인두 감염증에 대한 광범위한 항균제의 사용으로 발병이 매우 드물어, 이제는 잊혀져 가는 질환이 되었으나, 여전히 높은 사망률을 보이고 있다. 합병증과 사망률을 줄이기 위해서 빠른 진단과 적절한 항생제 치료가 필수적이다. 패혈성 폐색전증을 동반한 Lemierre 증후군 1예를 보고한다.

Keywords

References

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