HNO · 2004
[Lemierre syndrome: thrombosis of the internal jugular vein after tonsillectomy].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sagowski C, Koch U
Аннотация
BACKGROUND: Thrombosis of the internal jugular vein is a rare and critical disease which can also be a complication of a benign oropharyngeal infection (Lemierre syndrome).
PATIENT: A 62 year old patient underwent septomplasty, endonasal turbinectomy, paranasal sinus surgery and tonsillectomy. The postoperative course was uneventful until the 11th post operative day when the patient reported a painful swelling on the right side of the neck. Color Doppler ultrasonography demonstrated thrombosis of the right internal jugular vein and a CT-scan showed a right sided cervical phlegmonous soft tissue inflammation originating from the right oropharynx. Despite immediate intravenous antibiotic treatment, the patient developed a septic infection and resection of the jugular vein was conducted.
CONCLUSION: Lemierre syndrome is a rare condition which may also follow tonsillectomy. Under septic conditions, the resection of the internal jugular vein has to be performed to avoid serious complications.
PATIENT: A 62 year old patient underwent septomplasty, endonasal turbinectomy, paranasal sinus surgery and tonsillectomy. The postoperative course was uneventful until the 11th post operative day when the patient reported a painful swelling on the right side of the neck. Color Doppler ultrasonography demonstrated thrombosis of the right internal jugular vein and a CT-scan showed a right sided cervical phlegmonous soft tissue inflammation originating from the right oropharynx. Despite immediate intravenous antibiotic treatment, the patient developed a septic infection and resection of the jugular vein was conducted.
CONCLUSION: Lemierre syndrome is a rare condition which may also follow tonsillectomy. Under septic conditions, the resection of the internal jugular vein has to be performed to avoid serious complications.