{"id":8889,"date":"2025-06-12T15:51:54","date_gmt":"2025-06-12T07:51:54","guid":{"rendered":"https:\/\/wp-cc.meddatas.com\/?p=8889"},"modified":"2025-09-16T13:48:07","modified_gmt":"2025-09-16T05:48:07","slug":"20240612-%e9%bb%84%e5%9c%a3%e4%bc%a6-a-young-man-with-swollen-lips-and-neck-pain-1","status":"publish","type":"post","link":"https:\/\/wp-cc.meddatas.com\/?p=8889","title":{"rendered":"\u3010Case Listen and Say\u30112024-BMJ Case Rep- Atypical presentation of Lemierre\u2019s syndrome caused by penicillin- susceptible Staphylococcus aureus in a patient with chronic stomatitis and COVID- 19"},"content":{"rendered":"<p style=\"text-align: center;\"><strong>\u6c47\u62a5\u4eba\uff1a\u9ec4\u5723\u4f26\uff1b\u6c47\u62a5\u65f6\u95f4\uff1a2024.06.12<\/strong><\/p>\n<p><img loading=\"lazy\" class=\" wp-image-8890 aligncenter\" src=\"https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u9ec4\u5723\u4f26.jpg\" alt=\"\" width=\"766\" height=\"264\" srcset=\"https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u9ec4\u5723\u4f26.jpg 1694w, https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u9ec4\u5723\u4f26-300x103.jpg 300w, https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u9ec4\u5723\u4f26-1024x353.jpg 1024w, https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u9ec4\u5723\u4f26-768x265.jpg 768w, https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u9ec4\u5723\u4f26-1536x530.jpg 1536w\" sizes=\"(max-width: 766px) 100vw, 766px\" \/><\/p>\n<p style=\"text-align: center;\"><strong><b>Atypical presentation of Lemierre\u2019s syndrome caused by penicillin- susceptible Staphylococcus aureus in a patient with chronic stomatitis and COVID- 19<\/b><\/strong><\/p>\n<p style=\"text-align: center;\"><strong><b>BMJ Case Rep 2024;17:e258776\uff08DOI: 10.1136\/bcr-2023-258776\uff09<\/b><\/strong><\/p>\n<ul>\n<li><b><\/b><strong><b>\u75c5\u53f2<\/b><\/strong><\/li>\n<\/ul>\n<p>\u60a3\u8005\u7537\u6027\uff0c20\u4f59\u5c81\uff0c\u56e0\u53e3\u8154\u708e\u6025\u6027\u52a0\u91cd\uff08\u5507\u90e8\u80bf\u80c0\u3001\u53d1\u9ed1\u3001\u6e17\u8840\u4f34\u6e83\u75a1\uff09\u53ca\u6d41\u611f\u6837\u75c7\u72b6\uff08\u53d1\u70ed39.1\u00b0C\u3001\u547c\u5438\u56f0\u96be\u3001\u541e\u54bd\u56f0\u96be\uff09\u6025\u8bca\u5c31\u8bca\u3002\u65e2\u5f80\u5065\u5eb7\uff0c\u67096\u5e74\u6162\u6027\u53e3\u8154\u708e\u75c5\u53f2\uff08\u75c5\u56e0\u672a\u660e\uff09\uff0c\u957f\u671f\u4f7f\u7528\u963f\u7ef4A\uff08\u4e8c\u4ee3\u7ef4A\u9178\uff09\u6cbb\u7597\uff0c\u672c\u6b21\u5c31\u8bca\u524d\u66fe\u53e3\u670d\u6cfc\u5c3c\u677e\u9f99\u6cbb\u7597\uff0c\u4f46\u65e0\u6548\u3002<\/p>\n<ul>\n<li><b><\/b><strong><b>\u8f85\u52a9\u68c0\u67e5<\/b><\/strong><\/li>\n<\/ul>\n<p>\u4f4e\u6c27\u8840\u75c7\uff08SpO\u2082 92%\uff09\u3002<\/p>\n<p>\u5f71\u50cf\u5b66\uff1a<\/p>\n<p>\u80f8\u90e8X\u7ebf\uff08CXR\uff09\uff1a\u53cc\u4fa7\u591a\u53d1\u5b9e\u53d8\u5f71\u3002\u9888\u90e8\u53ca\u80f8\u90e8CT\uff1a\u5de6\u9762\u9759\u8109\u53ca\u9888\u5185\u9759\u8109\uff08IJV\uff09\u8840\u6813\u3001\u80ba\u90e8\u8113\u6bd2\u6027\u6813\u585e\uff08\u4f34\u7a7a\u6d1e\u5f62\u6210\uff09\u3001\u7eb5\u9694\u6dcb\u5df4\u7ed3\u80bf\u5927\u3002<\/p>\n<p>\u5b9e\u9a8c\u5ba4\u68c0\u67e5\uff1a<\/p>\n<p>\u708e\u6027\u6807\u5fd7\u7269\u663e\u8457\u5347\u9ad8\uff08CRP 454 mg\/L\uff0c\u767d\u7ec6\u80de17\u00d710\u2079\/L\uff09\u3002COVID-19 PCR\u68c0\u6d4b\u9633\u6027\uff0c\u8840\u57f9\u517b\uff1a\u9752\u9709\u7d20\u654f\u611f\u7684\u91d1\u9ec4\u8272\u8461\u8404\u7403\u83cc\uff08\u6301\u7eed7\u5929\u9633\u6027\uff09\u3002<\/p>\n<ul>\n<li><b><\/b><strong><b>\u9274\u522b\u8bca\u65ad<\/b><\/strong><\/li>\n<\/ul>\n<ol>\n<li>Stevens-Johnson\u7efc\u5408\u5f81\uff08SJS\uff09\uff1a\u65e0\u65b0\u8fd1\u7528\u836f\u53f2\uff08SJS\u5e38\u89c1\u8bf1\u56e0\uff09\u3001\u5168\u8eab\u65e0\u5e7f\u6cdb\u7ea2\u6591\u6216\u6c34\u75b1\uff0c\u5c3c\u6c0f\u5f81\u9634\u6027\u3002<\/li>\n<li>\u4e2d\u6bd2\u6027\u8868\u76ae\u574f\u6b7b\u677e\u89e3\u75c7\uff08TEN\uff09\uff1a\u65e0\u5168\u8eab\u6027\u8868\u76ae\u5265\u8131\u6216\u5927\u75b1\u3002<\/li>\n<li>\u574f\u6b7b\u6027\u8f6f\u7ec4\u7ec7\u611f\u67d3\uff1a\u65e0\u5267\u70c8\u75bc\u75db\uff0c\u4e73\u9178\u6c34\u5e73\u6b63\u5e38\u3002<\/li>\n<li>COVID-19\u76f8\u5173\u5e76\u53d1\u75c7\uff1a\u5f71\u50cf\u5b66\u5b9e\u53d8\u975e\u5178\u578bCOVID-19\u5206\u5e03\uff08\u975e\u57fa\u5e95\u90e8\u4e3a\u4e3b\uff09\uff0c\u4e14\u5408\u5e76\u9888\u5185\u9759\u8109\u8840\u6813\uff0c\u6307\u5411\u8113\u6bd2\u6027\u6813\u585e\u3002<\/li>\n<li>\u98ce\u6e7f\/\u81ea\u8eab\u514d\u75ab\u6027\u75be\u75c5\uff08\u5982\u8840\u7ba1\u708e\u3001\u7ea2\u6591\u72fc\u75ae\u3001\u767d\u585e\u75c5\uff09\uff1a PET-CT\u65e0\u8840\u7ba1\u708e\u5f81\u8c61\uff0c\u81ea\u8eab\u514d\u75ab\u6807\u5fd7\u7269\u9634\u6027\u3002<\/li>\n<\/ol>\n<ul>\n<li><b><\/b><strong><b>\u6700\u7ec8\u8bca\u65ad<\/b><\/strong>\uff1a<strong><b>Lemierre<\/b><\/strong><strong><b>\u7efc\u5408\u5f81\uff08\u975e\u5178\u578b\u8868\u73b0\uff09<\/b><\/strong><\/li>\n<\/ul>\n<p>\u652f\u6301\u70b9\uff1a<\/p>\n<p>\u9888\u5185\u9759\u8109\u8840\u6813\uff08CT\u8bc1\u5b9e\uff09\u3002\u80ba\u90e8\u8113\u6bd2\u6027\u6813\u585e\uff08\u4f34\u7a7a\u6d1e\u5f62\u6210\uff09\u3002\u8840\u57f9\u517b\u4e3a\u91d1\u9ec4\u8272\u8461\u8404\u7403\u83cc\uff08\u975e\u5e38\u89c1\u75c5\u539f\u4f53\uff0c\u4f46\u7b26\u5408Lemierre\u7efc\u5408\u5f81\u7684\u7279\u5f81\uff09\u3002<\/p>\n<p>\u4e0d\u5178\u578b\u6027\uff1a\u75c5\u539f\u4f53\u591a\u4e3a\u9752\u9709\u7d20\u654f\u611f\u7684\u8461\u8404\u7403\u83cc\uff08\u975e\u5178\u578b\u68ad\u6746\u83cc\uff09\u3002\u539f\u53d1\u611f\u67d3\u7076\u4e3a\u6162\u6027\u53e3\u8154\u708e\uff08\u975e\u5178\u578b\u54bd\u708e\u6216\u6241\u6843\u4f53\u708e\uff09\u3002<\/p>\n<ul>\n<li><b><\/b><strong><b>\u6cbb\u7597\u4e0e\u9884\u540e<\/b><\/strong><\/li>\n<\/ul>\n<ol>\n<li>\u5e7f\u8c31\u6297\u751f\u7d20\u6297\u611f\u67d3\uff1a\u54cc\u62c9\u897f\u6797\/\u4ed6\u5511\u5df4\u5766+\u7532\u785d\u5511\uff08\u8986\u76d6\u538c\u6c27\u83cc\uff09\u3002<\/li>\n<li>\u6297\u75c5\u6bd2\uff1a\u745e\u5fb7\u897f\u97e6\uff08COVID-19\u6cbb\u7597\uff09\u3002<\/li>\n<li>\u7cd6\u76ae\u8d28\u6fc0\u7d20\uff1a\u5730\u585e\u7c73\u677e\uff08COVID-19\u76f8\u5173\u4f4e\u6c27\u8840\u75c7\uff09\u3002<\/li>\n<li>\u6297\u51dd\u6cbb\u7597\uff1a\u8fbe\u809d\u7d20\u94a0\uff08\u4f4f\u9662\u671f\u95f4\uff09\u2192 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Atypical presentation of Lemier &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/wp-cc.meddatas.com\/?p=8889\"> <span class=\"screen-reader-text\">\u3010Case Listen and Say\u30112024-BMJ Case Rep- Atypical presentation of Lemierre\u2019s syndrome caused by penicillin- susceptible Staphylococcus aureus in a patient with chronic stomatitis and COVID- 19<\/span> \u67e5\u770b\u5168\u6587 &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[131],"tags":[],"_links":{"self":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts\/8889"}],"collection":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8889"}],"version-history":[{"count":2,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts\/8889\/revisions"}],"predecessor-version":[{"id":9034,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts\/8889\/revisions\/9034"}],"wp:attachment":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8889"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8889"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8889"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}