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KMID : 0356820190350020031
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Korean Journal of Head & Neck Oncology
2019 Volume.35 No. 2 p.31 ~ p.34
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A Case of Lemierre’s Syndrome, Misdiagnosed as a Simple Deep Neck Infection on Initial Ultrasonography Followed by an Abscess Aspiration Trial
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Lee Dong-Yun
Kim Sang-Bin
Ban Myung-Jin
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Abstract
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Lemierre’s syndrome is rare disease characterized by anaerobic sepsis, internal jugular vein thrombosis, septic emboli that resulted from head and neck infection. Lemierre’s syndrome has significant morbidity, so immediate, accurate diagnosis and treatment is needed. It is necessary to perform contrast-enhanced computed tomography (CT) for diagnosis. Systemic antibiotics is recommended, and surgical interventions, anticoagulation may beis con-sidered for treatment. We report misdiagnosed case as a simple deep neck infection on initial ultrasonography with simultaneous abscess aspiration but finally diagnosed and treated internal jugular vein thrombophlebitis (Lemierre’s syndrome) on CT scan. We report a case of a 45-year-old patient, who was diagnosed with a simple deep neck infection and treated with simultaneous abscess aspiration, but finally diagnosed and treated internal jugular vein thrombophlebitis (Lemierre’s syndrome) on CT scan.
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KEYWORD
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Lemierre’s syndrome, Internal jugular vein, Thrombophlebitis, Ultrasonography guided aspiration
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