左扁桃周囲炎による敗血症性ショック後にMiller Fisher症候群を発症した1例

Miller Fisher syndrome post-septic shock due to left peritonsillitis: A case report

はじめに

　Guillain-Barré症候群（GBS）・Miller Fisher症候群（MFS）は，先行感染に伴う自己免疫機序によるニューロパチーである。われわれは，46歳の男性が左扁桃周囲炎後に歩行障害・構音障害をきたしMFSの診断に至った症例を経験したので報告する。GBS・MFSはともに比較的稀な疾患であるが，特にMFSは先行感染の大多数が上気道感染である。したがって，耳鼻咽喉科領域の感染症患者が失調症状を伴う際にはGBS・MFSの発症を念頭に置く必要があると考えられた。

　This is the case of a 47-year-old man, who had fever and a sore throat for 24 h. He lost consciousness and was transported to our hospital in an ambulance. He presented with left peritonsillitis and septic shock and was treated with the antibiotics. However, he later presented with trunk dystonia and anarthria. This led to the diagnosis of Miller Fisher syndrome, a rare disease that often occurs after upper respiratory tract infections. Infection of the palatine tonsil is very commonly seen by otolaryngologists；however, it is important to focus on its complications.