Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
증례

급성 인두염후 발생한 레미에르 증후군 1예

한영진1, 차용우1, 문효성2, 이강대1,*
Young Jin Han1, Yong Woo Cha1, Hyo Sung Mun2, Kang Dae Lee1,*
1고신대학교 의과대학 이비인후과학교실
2김해중앙병원 이비인후과
1Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea
2Department of Otolaryngology, Kimhae Jungang Hospital, Kimhae, Korea
*교신저자: 이강대, 602-702 부산광역시 서구 암남동 34 고신대학교 의과대학 이비인후과학교실 전화: (051) 990-6284·전송: (051) 245-8539 E-mail: Kdlee@ns.kosinmed.or.kr

© Copyright 2007 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 20, 2007; Accepted: Oct 19, 2007

Published Online: May 31, 2020

ABSTRACT

Lemierre syndrome, also known as postanginal sepsis or necrobacillosis, is an illness that originates as an acute pharyngitis or tonsillitis which progresses to sepsis, usually fusobacterial, due to suppurative thrombophlebitis of the internal jugular vein. Septic thromboemboli then seed various organs, resulting in multiple organ system pathology, most commonly affecting pulmonary and hepatic systems and joints. This serious complication of oropharyngeal sepsis had a mortality rate in excess of 90 percent in the pre-antibiotic era. Although now rarely seen and often forgotten, it remains a potentially life-threatening condition. Prompt diagnosis based on clinical presentation, radiologic findings, particularly CT scanning with contrast and a high index of suspicion, is necessary in order to institute often life saving therapy. We report on a cases of Lemierre syndrome which showed deep neck infection, internal jugular vein thrombosis and pulmonary septic emboli. (J Clinical Otolaryngol 2007;18:237–240)

Keywords: 인두염; 혈전증; 내경정맥
Keywords: Pharyngitis; Thrombosis; Internal jugular vein