Transcription of Lemierre症候群の1例 - jrs.or.jp
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Lemierre症候群の1例 - jrs.or.jp
41 9 2003 651.. Lemierre 1 .. 30 . X . CT CT . septic emboli Lemierre CLDM CFPM .. Lemierre . Septic emboli -Streptoccous haemolytic, Fusobacterium necrophorum Table 1 Laboratory data on admission . Hematology Serology Lemierre WBC 12,500 / l CRP mg/dl Neu % IgM mg/dl Lymph % IgG 1,630 mg/dl . Eos % IgA 407 mg/dl septic emboli Le- Mono % C3 121 mg/dl mierre 1 Baso % C4 mg/dl RBC 299 104/ l CH50 U/ml Hb g/dl ANA negative Plt 104 / l anti-DNA 2 . 30 Biochemistry RA negative g/dl anti-RNP negative T. Bil mg/dl anti-Sm negative 10 23 . GOT 17 IU/l immune complex g/ml 13 2 11 GPT 23 IU/l anti-CL IgG LDH 222 mg/dl anti-CL IgM 2 14.
が再発はなく，治癒後に施行した頸部エコーでは左内頸 静脈の血流の途絶が確認された． 考察 Lemierre症候群は発熱，膿瘍を伴う扁桃炎・咽喉頭
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