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Article in Japanese
Abstract
Case Report
Lemierre's syndrome in a patient with acute respiratory distress syndrome
Ryota Ozawa Hiroshi Kuraishi Yuki Takeuchi Manabu Yamamoto Takeshi Masubuchi Shigeru Koyama
Respiratory Medicine, Nagano Red Cross Hospital
ABSTRACT
A 70-year-old woman developed neck pain, fever, and dyspnea. She was referred to our hospital and diagnosed with septic shock of unknown origin, multiple lung abscesses due to septic pulmonary embolism, acute respiratory distress syndrome (ARDS), disseminated intravascular coagulation, and acute kidney injury. We performed magnetic resonance imaging on day 5 of admission, and a cervical epidural abscess and suppurative thrombophlebitis in the posterior neck were detected. She was thus diagnosed with Lemierre's syndrome. After receiving antibiotics, her condition improved, and she was discharged from our hospital on day 73 of admission. As the lungs are the most common site of metastatic infection, pulmonologists should ensure they are familiar with Lemierre's syndrome.
KEYWORDS
Lemierre's syndrome Septic pulmonary embolism Acute respiratory distress syndrome (ARDS)
Received 12 Aug 2021 ／ Accepted 8 Oct 2021
AJRS, 11(1): 11-15, 2022
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