Lemierre syndrome and nosocomial transmission of Fusobacterium necrophorum from patient to physician.
BACKGROUND
Human-to-human transmission of Fusobacterium necrophorum has not been described before.


METHODS
We present the case of a 15-year-old girl with Lemierre Syndrome and possible nosocomial transmission of F. necrophorum to her treating physician in hospital.


CONCLUSIONS
Early diagnosis and treatment of anaerobic pharyngitis is critical to prevent Lemierre Syndrome. Respiratory precautions should be recommended to medical staff caring for patients with suspected Lemierre Syndrome to prevent nosocomial transmission.
Bonhoeffer
J
J
Paediatric Infectious Diseases and Vaccines, University Children's Hospital Basel, Switzerland.
Trachsel
D
D
Hammer
J
J
Nava
E
E
Heininger
U
U
D000293:Adolescent; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003428:Cross Infection / Q000175:diagnosis / Q000188:drug therapy / Q000635:transmission*; D004359:Drug Therapy, Combination; D042241:Early Diagnosis; D005260:Female; D005674:Fusobacterium Infections / Q000175:diagnosis / Q000188:drug therapy / Q000635:transmission*; D005675:Fusobacterium necrophorum; D006801:Humans; D007091:Image Processing, Computer-Assisted; D017758:Infectious Disease Transmission, Patient-to-Professional; D007396:Internship and Residency; D007601:Jugular Veins / Q000473:pathology; D057831:Lemierre Syndrome / Q000175:diagnosis / Q000188:drug therapy* / Q000635:transmission*; D010372:Pediatrics / Q000193:education*; D018410:Pneumonia, Bacterial / Q000175:diagnosis / Q000188:drug therapy; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000188:drug therapy; D012772:Shock, Septic / Q000175:diagnosis / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D014069:Tonsillitis / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D019980:Amoxicillin-Potassium Clavulanate Combination