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Pediatric gastroenterology, hepatology & nutrition   v.21 no.3, 2018년, pp.214 - 217   KCI
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Lemierre Syndrome in Adolescent with Active Ulcerative Colitis

Unic, Josipa   (University of Zagreb School of Medicine, Children's Hospital Zagreb  ); Kovacic, Matea   (University of Zagreb School of Medicine, Children's Hospital Zagreb  ); Jakovljevic, Gordana   (Department of Oncology, Children's Hospital Zagreb  ); Batos, Ana Tripalo   (Department of Pediatric Radiology, Children's Hospital Zagreb  ); Grmoja, Tonci   (Department of Pediatric Radiology, Children's Hospital Zagreb  ); Hojsak, Iva   (University of Zagreb School of Medicine, Children's Hospital Zagreb  );
  • 초록

    Inflammatory bowel disease (IBD) is a well-recognized risk factor for thrombotic events in adults but data on children are scarce. In the great majority of adult patients, thrombotic events are usually deep vein thrombosis and pulmonary embolism. Other sites such as jugular veins are extremely rare. We present a case of Lemierre syndrome in an adolescent girl with active ulcerative colitis and discuss possible risk factors. This is the first reported case of severe Lemierre syndrome with thrombus extension to cranial veins in a patient with ulcerative colitis. Early recognition of Lemierre syndrome in patients who present with rapidly worsening symptoms of neck pain, fever and signs of pharyngitis is imperative because it increases a chance of favorable prognosis. It is important for pediatricians treating IBD patients not to underestimate possible thrombotic events in children with IBD. Recognition of additional risk factors is crucial for prompt diagnosis and adequate treatment.


  • 주제어

    Thrombosis  . Thrombophlebitis  . Inflammatory bowel diseases  . Child  .

  • 참고문헌 (12)

    1. Lazzerini M, Bramuzzo M, Maschio M, Martelossi S, Ventura A. Thromboembolism in pediatric inflammatory bowel disease: systematic review. Inflamm Bowel Dis 2011;17:2174-83. 
    2. Alkim H, Koksal AR, Boga S, Sen I, Alkim C. Etiopathogenesis, prevention, and treatment of thromboembolism in inflammatory bowel disease. Clin Appl Thromb Hemost 2017;23:501-10. 
    3. Van Assche G, Dignass A, Bokemeyer B, Danese S, Gionchetti P, Moser G, et al. Second European evidence-based consensus on the diagnosis and management of ulcerative colitis part 3: special situations. J Crohns Colitis 2013;7:1-33. 
    4. Danese S, Papa A, Saibeni S, Repici A, Malesci A, Vecchi M. Inflammation and coagulation in inflammatory bowel disease: The clot thickens. Am J Gastroenterol 2007;102:174-86. 
    5. Habek M, Petravic D, Ozretic D, Brinar VV. Horner syndrome due to jugular vein thrombosis (Lemierre syndrome). J Neurol Neurosurg Psychiatry 2008;79:293. 
    6. Lin D, Reeck JB, Murr AH. Internal jugular vein thrombosis and deep neck infection from intravenous drug use: management strategy. Laryngoscope 2004;114:56-60. 
    7. Armstrong AW, Spooner K, Sanders JW. Lemierre's syndrome. Curr Infect Dis Rep 2000;2:168-73. 
    8. Lu MD, Vasavada Z, Tanner C. Lemierre syndrome following oropharyngeal infection: a case series. J Am Board Fam Med 2009;22:79-83. 
    9. Papay P, Miehsler W, Tilg H, Petritsch W, Reinisch W, Mayer A, et al. Clinical presentation of venous thromboembolism in inflammatory bowel disease. J Crohns Colitis 2013;7:723-9. 
    10. Nylund CM, Goudie A, Garza JM, Crouch G, Denson LA. Venous thrombotic events in hospitalized children and adolescents with inflammatory bowel disease. J Pediatr Gastroenterol Nutr 2013;56:485-91. 
    11. Alperstein A, Fertig RM, Feldman M, Watford D, Nystrom S, Delva G, et al. Septic thrombophlebitis of the internal jugular vein, a case of Lemierre's syndrome. Intractable Rare Dis Res 2017;6:137-40. 
    12. Cupit-Link MC, Nageswara Rao A, Warad DM, Rodriguez V. Lemierre syndrome: a retrospective study of the role of anticoagulation and thrombosis outcomes. Acta Haematol 2017;137:59-65. 

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