A Severe Case of Lemierre Syndrome with Streptococcus constellatus Infection

Japanese Journal of Infectious Diseases

Takeshi Kitazaki³  Shigeru Kohno¹  Minoru Fukuda³  Yoshitomo Morinaga²  Katsunori Yanagihara²  Midori Shimada³  Kohji Hashiguchi³ 

[1] Second Department of Internal Medicine, Nagasaki University Graduate School of Biomedical Sciences;Department of Laboratory Medicine, Nagasaki University Graduate School of Biomedical Sciences;Respiratory Medicine, The Japanese Red Cross, Nagasaki Genbaku Hospital

关键词: Streptococcus constellatus;    coagulopathy;    disseminated intravascular coagulation;    thrombosis;    elderly;   

DOI  :  10.7883/yoken.67.488

学科分类：传染病学

来源: National Institute of Infectious Diseases

【 摘 要 】

References(9)A 76-year-old Japanese male presenting with high fever, headache, and disturbance of consciousness was hospitalized. Contrast computed tomography revealed thrombophlebitis in the internal jugular vein and abscesses in the posterior neck region, pharynx, and pterygoid muscle. Streptococcus constellatus infection was confirmed by culture of blood samples, and the patient was diagnosed with Lemierre syndrome. In addition to the administration of antibiotics and anticoagulants, abscess drainage was performed. S. constellatus should be considered as a causative bacterium in elderly patients with Lemierre syndrome.

【 授权许可】

Unknown