title: [Life-threatening appendicitis caused by Fusobacterium necrophorum].
abstract: Fusobacterium necrophorum is a well-known cause of Lemierre's syndrome. Recent studies suggest a causative association between F. necrophorum and acute appendicitis. We present a case of a 15-year-old previously healthy girl who presented with acute non-perforated appendicitis, intra-abdominal abscesses and thrombosis that led to omental necrosis. This resulted in a life-threatening septic shock with the need for prolonged intensive care. We suggest that F. necrophorum identified in pus from the abdomen caused this fulminant variation of appendicitis with findings similar to those seen with Lemierre's syndrome.
authors.affiliation: Infektionsmedicinsk Afdeling, Aalborg Universitetshospital, Hobrovej 18-22, 9100 Aalborg. trine@hagen.ac.
authors.forename: Trine Langfeldt
authors.initials: TL
authors.lastname: Hagen
authors.forename: Yasuko
authors.initials: Y
authors.lastname: Maeda
authors.forename: Jens Aage
authors.initials: JA
authors.lastname: Lindberg
authors.forename: Mogens Rørbæk
authors.initials: MR
authors.lastname: Madsen
mesh_terms: D018784:Abdominal Abscess / Q000382:microbiology / Q000628:therapy; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001064:Appendicitis / Q000382:microbiology* / Q000601:surgery; D016638:Critical Illness; D005260:Female; D005674:Fusobacterium Infections / Q000150:complications* / Q000188:drug therapy; D005675:Fusobacterium necrophorum / Q000302:isolation & purification; D006801:Humans; D009336:Necrosis / Q000382:microbiology / Q000601:surgery; D009852:Omentum / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D012772:Shock, Septic / Q000382:microbiology / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents