두경부 감염증에 나타난 내경정맥혈전증의 장기적 추적 결과:

• 영문명: LEMIERRE SYNDROME: A CASE REPORT
• 발행기관: 대한구강악안면외과학회
• 저자명: 진임건(Im-Geon Jin) 강문호(Moon-Ho Kang) 황종민(Jong-Min Hwang) 정해석(Hae-Seok Jeong) 이의룡(Ui-Lyoung Lee) 명훈(Hoon Myung) 황순정(Soon-Jung Hwang) 최진영(Jin-Young Choi) 이종호(Jong-Ho Lee) 정필훈(Pill-Hoon Choung) 김명진(Myung-Jin Kim) 서병무(Byoung-Moo Seo)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제33권 제3호, 256~259쪽, 전체 4쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2007.06.30

영문 초록

Abscesses are common in the oral and maxillofacial area. However, secondary thrombosis of the internal jugular vein accompanying the primary abscess is rare. In 1936, Andre Lemeierre studied 20 patients who showed an initial oropharyngeal infection, septicemia, internal jugular vein thrombosis, and secondary spread of the infection, and after then this condition Lemierre syndrome. Clinically, these patients present with tonsilitis lasting several days, continuous fever, and cervical pain. In the past, ligation and excision of the internal jugular vein was often performed. Current therapeutic modality for this condition is appropriate antibiotic prescription and surgical drainage of abscess. This case report presents a patient who showed symptoms of Lemierre syndrome, initiated as an oropharyngeal infection then developed thrombosis of the internal jugular vein. This patient was admitted into Seoul National University Dental Hospital. In addition to routine antibiotic therapy, surgical incision and drainage of the infection site was performed. Without ligation or excision, the thrombosed IJV disappeared eventually. As the Lemierre syndrome is not a common disease, this case report and review of the literature would be useful regarding a treatment of patients with Lemierre syndrome.

키워드

Internal jugular thrombosis Lemierre syndrome