| Case Reports : A case of tricuspid valve infective endocarditis following Lemierre syndrome |
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Sun Mi Lee, Ju Hyun Park, Youn Keyung Yoon, Sun Hee Lee, Kuk Jin Chun, Chul Hoon Chang, Hak Jin Kim |
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한림의대 한강성심병원 내과 |
| 증례 : Lemierre 증후군에 합병된 삼첨판막 감염성 심내막염 1예 |
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이선미, Ju Hyun Park, Youn Keyung Yoon, Sun Hee Lee, Kuk Jin Chun, Chul Hoon Chang, Hak Jin Kim |
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| Abstract |
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Lemierre syndrome is characterized by an acute oropharyngeal infection with septic thrombophlebitis of the internal jugular vein, anaerobic bacteremia, and multiple metastatic abscess, frequently involving lung. The most common etiologic organism is Fusobacterium necrophorum.
In this case, otomastoiditis causes internal jugular vein thrombophlebitis, which complicates pulmonary septic embolism and tricuspid valve endocarditis. The patient had no underlying heart disease and wasn't injection drug user. Blood culture revealed Bacteroides fragilis group and group G β-hemolytic Streptococcus.
Pulmonary septic embolism is common complication in patient with Lemierre syndrome, but endocarditis is very rare, moreover tricuspid valve involvement.
As widespread use of antibiotics, this syndrome becomes rare and typical course of the disease has changed. It leads to decrease recognition of this syndrome. But, Lemierre syndrome is potentially fatal if early diagnosis and appropriate antibiotic treatment is not followed.(Korean J Med 70:439-443, 2006)
Key Words : Lemierre syndrome, Mastoiditis, Tricuspid valve endocarditis. |
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