Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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ABSTRACT: LEMIERRE SYNDROME: A CASE REPORT

두경부 감염증에 나타난 내경정맥혈전증의 장기적 추적 결과: 증례보고

  • Jin, Im-Geon (Department of Oral and Maxillofacial Surgery, Seoul National University School of Dentistry, Dental Research Institute) ;
  • Kang, Moon-Ho (Department of Oral and Maxillofacial Surgery, Seoul National University School of Dentistry, Dental Research Institute) ;
  • Hwang, Jong-Min (Department of Oral and Maxillofacial Surgery, Seoul National University School of Dentistry, Dental Research Institute) ;
  • Jeong, Hae-Seok (Department of Oral and Maxillofacial Surgery, Seoul National University School of Dentistry, Dental Research Institute) ;
  • Lee, Ui-Lyoung (Department of Oral and Maxillofacial Surgery, Seoul National University School of Dentistry, Dental Research Institute) ;
  • Myung, Hoon (Department of Oral and Maxillofacial Surgery, Seoul National University School of Dentistry, Dental Research Institute) ;
  • Hwang, Soon-Jung (Department of Oral and Maxillofacial Surgery, Seoul National University School of Dentistry, Dental Research Institute) ;
  • Choi, Jin-Young (Department of Oral and Maxillofacial Surgery, Seoul National University School of Dentistry, Dental Research Institute) ;
  • Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, Seoul National University School of Dentistry, Dental Research Institute) ;
  • Choung, Pill-Hoon (Department of Oral and Maxillofacial Surgery, Seoul National University School of Dentistry, Dental Research Institute) ;
  • Kim, Myung-Jin (Department of Oral and Maxillofacial Surgery, Seoul National University School of Dentistry, Dental Research Institute) ;
  • Seo, Byoung-Moo (Department of Oral and Maxillofacial Surgery, Seoul National University School of Dentistry, Dental Research Institute)
  • 진임건 (서울대학교 치의학대학원 구강악안면외과, 치학연구소) ;
  • 강문호 (서울대학교 치의학대학원 구강악안면외과, 치학연구소) ;
  • 황종민 (서울대학교 치의학대학원 구강악안면외과, 치학연구소) ;
  • 정해석 (서울대학교 치의학대학원 구강악안면외과, 치학연구소) ;
  • 이의룡 (서울대학교 치의학대학원 구강악안면외과, 치학연구소) ;
  • 명훈 (서울대학교 치의학대학원 구강악안면외과, 치학연구소) ;
  • 황순정 (서울대학교 치의학대학원 구강악안면외과, 치학연구소) ;
  • 최진영 (서울대학교 치의학대학원 구강악안면외과, 치학연구소) ;
  • 이종호 (서울대학교 치의학대학원 구강악안면외과, 치학연구소) ;
  • 정필훈 (서울대학교 치의학대학원 구강악안면외과, 치학연구소) ;
  • 김명진 (서울대학교 치의학대학원 구강악안면외과, 치학연구소) ;
  • 서병무 (서울대학교 치의학대학원 구강악안면외과, 치학연구소)
  • Published : 2007.06.30
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Abstract

Abscesses are common in the oral and maxillofacial area. However, secondary thrombosis of the internal jugular vein accompanying the primary abscess is rare. In 1936, Andre Lemeierre studied 20 patients who showed an initial oropharyngeal infection, septicemia, internal jugular vein thrombosis, and secondary spread of the infection, and after then this condition Lemierre syndrome. Clinically, these patients present with tonsilitis lasting several days, continuous fever, and cervical pain. In the past, ligation and excision of the internal jugular vein was often performed. Current therapeutic modality for this condition is appropriate antibiotic prescription and surgical drainage of abscess. This case report presents a patient who showed symptoms of Lemierre syndrome, initiated as an oropharyngeal infection then developed thrombosis of the internal jugular vein. This patient was admitted into Seoul National University Dental Hospital. In addition to routine antibiotic therapy, surgical incision and drainage of the infection site was performed. Without ligation or excision, the thrombosed IJV disappeared eventually. As the Lemierre syndrome is not a common disease, this case report and review of the literature would be useful regarding a treatment of patients with Lemierre syndrome.

Keywords

References

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