内頸静脈血栓を合併した扁桃周囲炎例

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  • 兼竹 博文
    洛和会音羽病院耳鼻咽喉科・頭頸部外科 大阪医科薬科大学耳鼻咽喉科・頭頸部外科
  • 大村 修士
    洛和会音羽病院耳鼻咽喉科・頭頸部外科 大阪医科薬科大学耳鼻咽喉科・頭頸部外科
  • 荒木 倫利
    洛和会音羽病院耳鼻咽喉科・頭頸部外科
  • 河田 了
    大阪医科薬科大学耳鼻咽喉科・頭頸部外科

書誌事項

タイトル別名
  • A Case of Peritonsillitis Complicated by Internal Jugular Vein Thrombosis
  • 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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説明

<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>

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