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日本呼吸器学会英文誌 Respiratory Investigation
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Abstract

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Article in Japanese

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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