1/ #UncleBob spent > #5goodminutes reviewing this new important article - Invasive infections with Fusobacterium necrophorum including Lemierre’s syndrome – An eight-year Swedish nationwide retrospective study sciencedirect.com/science/articl…
This thread highlights some findings
2010-2017
This thread highlights some findings
2010-2017
2/ Of course I am obsessed w/ Fusobacterium necrophorum and its sequelae - especially the Lemierre Syndrome(LS)
They studied 3 groups w/ avg age
LS 20
Peritonsillitis (either abscess or phlegmon) 25
Other invasive (+ blood cultures) 64
300 total pts. (104, 102 & 94 )
They studied 3 groups w/ avg age
LS 20
Peritonsillitis (either abscess or phlegmon) 25
Other invasive (+ blood cultures) 64
300 total pts. (104, 102 & 94 )
3/ LS patients
75% thrombocytopenia
83% met sepsis criteria
18% septic shock
43% required ICU care
mortality has decreased to 2%
4/ in the 15-19 age group LS incidence increased from 10/million/year in the 2010-2013 group
to
23/million/year in the 2014-2017
75% thrombocytopenia
83% met sepsis criteria
18% septic shock
43% required ICU care
mortality has decreased to 2%
4/ in the 15-19 age group LS incidence increased from 10/million/year in the 2010-2013 group
to
23/million/year in the 2014-2017
4/ The article speculates on the increases in the Lemierre Syndrome in Sweden
All but 1 organism found on blood culture was penicillin sensitive
All were clindamycin & metronidazole sensitive
@jeffreylinder @PaulSaxMD @DrJeanneM
It is time to reconsider sore throat guidelines
All but 1 organism found on blood culture was penicillin sensitive
All were clindamycin & metronidazole sensitive
@jeffreylinder @PaulSaxMD @DrJeanneM
It is time to reconsider sore throat guidelines
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