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[Fusobacterium necrophorum: from tonsillitis to Lemierre's syndrome]
Lena Hagelskjaer Kristensen1, Anders Jensen, Jørgen Prag
1Klinisk Mikrobiologisk Afdeling, Regionshospitalet Viborg, DK-8800 Viborg. lena.h.kristensen@viborg.rm.dk
Abstract:
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.
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