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內科學誌 -第34卷第2期

病例 
Lemierre's Syndrome, an Easily-Misdiagnosed but Fatal Infectious Disease: A Case Report  全文閱讀
124~129 
英文 
Acute tonsillitis、Fusobacterium necrophorum、Internal jugular vein septic thrombophlebitis、Infectious mononucleosis、Lemierre’s syndrome、Metastatic infections 
林湘玲1 、劉昌邦1  
台北馬偕紀念醫院內科部感染科1  
Lemierre’s syndrome usually developes after an episode of acute upper respiratory infection. Fever, sore throat and neck pain are not specific symptoms and are usually treated as acute pharyngitis or tonsillitis. However, septic thrombophlebitis of the internal jugular vein with septic emboli that cause metastatic infections may make this disease complicated and fatal. We present a 28-year-old man who was initially diagnosed with acute tonsillitis and suspect EBV infection. After further evaluations, he was finally diagnosed with Lemierre’s syndrome and was treated successfully.