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
49 6 2011 449.. Lemierre 1 .. 20 X . CT . Levofloxacin LVFX . Fusobacterium necrophorum CT . Lemierre .. Lemierre .. Lemierre s syndrome Fusobacterium necrophorum Thrombophlebitis .. Lemierre 1900 .. Courmont 8 .. 1936 Lemierre . 1 14 . 20 . Lemierre 1 19 .. Cefcapene pivoxil CFPN-PI . 1960 1 21 X. forgot- 1 22.. ten disease 1990 . LVFX 1 28.. Lemierre 1 . 82! SpO2 94 room air . 47mmHg 137 ! . GCS E4V5M6 .. 20 . 30,900! 260 0852 1273 2. 1 l CRP ! dl . DIC .. 260 8670 1 8 1 PaO2 69. 2 . Torr PaCO2 41 Torr . 22 11 22 X Fig. 1 CT Fig. 450 49 6 2011 . 2 . X Meropenem MEPM ! . 5. CT S Minocycline MINO 200mg! . 15 20mm 3 . 37 5 . 2! 2 Fuso- hy- bacterium necrophorum Fn Table perdynamic 1 . Lemierre . 2 . CT . S5 TBLB . -Streptococcus Neisseria C2 Th1 Fig. 4 . Le- TBLB mierre Fn .. Fig. 3 . ! Ampicillin! Sulbactam ABPC! 2 SBT ! Clindamycin . CLDM 1,200mg! . Fig. 2 Chest CT on admission showed multiple nod- Fig. 1 Chest X-ray film on admission showed infiltra- ules with cavity formation, suggesting septic emboli- tive shadows.
Lemierre症候群の1例 451 Fig. 4 The black arrow shows internal jugular vein thrombosis on enhanced CT of the neck. Table 1 Drug sensitivity and MIC
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