[Fusobacterium necrophorum: from tonsillitis to Lemierre's syndrome].
Fusobacterium necrophorum plays a role in non-GAS-tonsillitis in adolescents and probably also in small children with recurrent otitis media. Anaerobic culture on selective anaerobic media is recommended to detect F. necrophorum and treat such patients. Denmark sees at least 20 annual cases of Lemierre's syndrome with a mortality reaching 9%. Early suspicion of Lemierre's syndrome in adolescents with non-GAS-tonsillitis, who develop septicaemia, pulmonary symptoms and unilateral swelling on the neck, is mandatory to lower morbidity and mortality.
Kristensen
Lena Hagelskjaer
LH
Klinisk Mikrobiologisk Afdeling, Regionshospitalet Viborg, DK-8800 Viborg. lena.h.kristensen@viborg.rm.dk
Jensen
Anders
A
Prag
Jørgen
J
D000293:Adolescent; D000328:Adult; D002648:Child; D003937:Diagnosis, Differential; D005674:Fusobacterium Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005675:Fusobacterium necrophorum / Q000302:isolation & purification*; D006801:Humans; D010033:Otitis Media / Q000382:microbiology; D018805:Sepsis / Q000382:microbiology; D013577:Syndrome; D014069:Tonsillitis / Q000188:drug therapy / Q000382:microbiology*