Severe acute tonsillitis caused by Rothia dentocariosa in a healthy child.
A 4-year-old Japanese girl developed a sore throat and high fever. Her tonsils were enlarged, red and covered with a thick white membrane. There was marked leukocytosis (26,600 leukocytes per mm) and elevated C-reactive protein levels (23.3 mg/dL). Rothia dentocariosa was recovered from the throat swab; many Gram-positive cocci were observed in the smear from the pseudomembrane covering the tonsil.
Ohashi
Masahiro
M
Department of Pediatrics, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Yoshikawa
Tetsushi
T
Akimoto
Shiho
S
Fujita
Ayano
A
Hayakawa
Satoshi
S
Takahashi
Motohide
M
Arakawa
Yoshichika
Y
Asano
Yoshizo
Y
D000191:Actinomycetaceae / Q000302:isolation & purification*; D000193:Actinomycetales Infections / Q000175:diagnosis* / Q000188:drug therapy; D000208:Acute Disease; D000667:Ampicillin / Q000008:administration & dosage; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007262:Infusions, Intravenous; D018570:Risk Assessment; D012720:Severity of Illness Index; D014069:Tonsillitis / Q000188:drug therapy / Q000382:microbiology*; D016896:Treatment Outcome
D000667:Ampicillin