| Autor: |
Monroe EJ; Department of Radiology, Division of Interventional Radiology, University of Washington and Seattle Children's Hospital, 4800 Sand Point Way NE, M/S R-5417, Seattle, WA 98105, USA., Amlie-Lefond CM; Department of Neurology, University of Washington and Seattle Children's Hospital, Seattle, WA, USA. |
| Jazyk: |
angličtina |
| Zdroj: |
Radiology case reports [Radiol Case Rep] 2018 Mar 30; Vol. 13 (3), pp. 618-621. Date of Electronic Publication: 2018 Mar 30 (Print Publication: 2018). |
| DOI: |
10.1016/j.radcr.2018.03.007 |
| Abstrakt: |
Lemierre's syndrome results from anaerobic bacterial thrombophlebitis of the cervical venous vasculature, occasionally complicated by deep neck space abscesses, sepsis, septic emboli, vascular occlusions, or mycotic aneurysms. Fastidious organisms, such as Fusobacterium necrophorum , may be slow to respond to intravenous antibiotic therapy, prompting a need for more aggressive source control. Concomitant vascular occlusions and mycotic aneurysms present difficult decisions regarding anticoagulation, and the anatomy involved implies important technical considerations for intervention. A case of Lemierre's syndrome complicated by a carotid space abscess and mycotic internal carotid artery pseudoaneurysm progressed despite intravenous antibiosis. Transpterygoidal aspiration using cone beam computed tomography guidance provided both technical and clinical success. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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