A Case of Peritonsillitis Complicated by Internal Jugular Vein Thrombosis
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- Kanetake Hirofumi
- Rakuwakai Otowa Hospital Osaka Medical and Pharmaceutical University
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- Omura Shuji
- Rakuwakai Otowa Hospital Osaka Medical and Pharmaceutical University
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- Araki Michitoshi
- Rakuwakai Otowa Hospital
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- Kawata Ryo
- Osaka Medical and Pharmaceutical University
Bibliographic Information
- Other Title
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- 内頸静脈血栓を合併した扁桃周囲炎例
- ナイ ケイ ジョウミャク ケッセン オ ガッペイ シタ ヘントウ シュウイエンレイ
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Abstract
<p>Inflammation of the pharynx or larynx could spread to the surrounding tissues and cause complications, including thrombosis of the internal jugular vein. We report the case of a 63-year-old man who was diagnosed as having peritonsillitis complicated by internal jugular vein thrombosis. He presented to us with marked swelling of his neck. Neck computed tomography revealed absence of blood flow in the right internal jugular vein, which led to strong suspicion of the diagnosis of Lemierre’s syndrome. Ultrasonography revealed a thrombus in the internal jugular vein.</p><p>Klebsiella pneumoniae was later isolated from blood cultures. We initiated the patient on treatment with sulbactam sodium/ampicillin sodium (3 g × 4 times a day) and continuous IV heparin, and the symptoms improved. When treating patients with pharyngeal or cervical infections, it is important to bear in mind the potential complication of internal jugular vein thrombosis.</p>
Journal
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- Practica Oto-Rhino-Laryngologica
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Practica Oto-Rhino-Laryngologica 115 (6), 507-511, 2022
The Society of Practical Otolaryngology
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Details 詳細情報について
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- CRID
- 1390292251345854592
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- NII Book ID
- AN00107089
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- ISSN
- 18844545
- 00326313
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- NDL BIB ID
- 032223463
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
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- Abstract License Flag
- Disallowed