[Oropharyngeal origin of septic thrombophlebitis of the internal jugular vein. Apropos of 3 cases].
While before antibiotics cases of septic thrombophlebitis of the internal jugular vein secondary to oropharyngeal infection were frequent and had a poor prognosis, today they are exceptional and often have a favourable course under antibiotic therapy. The clinical features are often limited to fever and a painful tumefaction of the anterior border of the sterno-cleido-mastoidian muscle, symptoms may be more pronounced in the Lemierre syndrome in which the anaerobic septicaemia is associated with secondary, especially pleuro-pulmonary, localizations. The diagnosis can be confirmed with a cervical CT-scan showing an enlarged, thrombosed vein which does not opacify and has a hyperdense periphery. Treatment is based on parenteral antibiotics adapted to anaerobic germs.
Faussat
J M
JM
Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital Necker Enfants-Malades, Paris.
Coste
A
A
Roger
G
G
Page
B
B
Marrek
H
H
Roulleau
P
P
D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents; D002481:Cellulitis / Q000150:complications; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007601:Jugular Veins; D008199:Lymphadenitis / Q000150:complications; D008297:Male; D009333:Neck; D010038:Otorhinolaryngologic Diseases / Q000150:complications*; D000039:Peritonsillar Abscess / Q000150:complications; D013927:Thrombosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
D000900:Anti-Bacterial Agents
Les trombophlébites septiques de la veine jugulaire interne à porte d'entrée oro-pharyngée. A propos de trois cas.