Skip to main content
Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases 3/2005

01.03.2005 | Concise Article

Molecular diagnosis of Fusobacterium necrophorum infection (Lemierre’s syndrome)

verfasst von: S. H. Aliyu, P. F. K. Yong, M. J. Newport, H. Zhang, R. K. Marriott, M. D. Curran, H. Ludlam

Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases | Ausgabe 3/2005

Einloggen, um Zugang zu erhalten

Abstract

Presented here is the case of a 27-year-old male with atypical features of Lemierre’s syndrome in which a definitive diagnosis was achieved using molecular methods. While routine investigations, including bacterial cultures, were unhelpful, two real-time PCR assays demonstrated Fusobacterium necrophorum-specific DNA in aspirates from brain and renal abscesses. This is the first report demonstrating that a laboratory diagnosis can be made using molecular methods in suspected cases of Lemierre’s syndrome. Use of these methods can thus resolve diagnostic confusion, prevent unnecessary investigation, and direct specific antimicrobial treatment.
Literatur
1.
Zurück zum Zitat Lemierre A (1936) On certain septicaemias due to anaerobic organisms. Lancet 1:701–703 Lemierre A (1936) On certain septicaemias due to anaerobic organisms. Lancet 1:701–703
2.
Zurück zum Zitat Sinave CP, Hardy GJ, Fardy PW (1989). The Lemierre syndrome. Medicine (Baltimore) 68:85–94 Sinave CP, Hardy GJ, Fardy PW (1989). The Lemierre syndrome. Medicine (Baltimore) 68:85–94
3.
Zurück zum Zitat Brazier JS (2002) Fusobacterium necrophorum infections in man. Rev Med Microbiol 13:141–149 Brazier JS (2002) Fusobacterium necrophorum infections in man. Rev Med Microbiol 13:141–149
4.
Zurück zum Zitat Hodgson AL, Nicholson LA, Doran TJ, Corner LA (1993) Restriction fragment length polymorphism analysis of Fusobacterium necrophorum using a novel repeat DNA sequence and a 16S rRNA gene probe. FEMS Microbiol Lett 107:205–210 Hodgson AL, Nicholson LA, Doran TJ, Corner LA (1993) Restriction fragment length polymorphism analysis of Fusobacterium necrophorum using a novel repeat DNA sequence and a 16S rRNA gene probe. FEMS Microbiol Lett 107:205–210
5.
Zurück zum Zitat Narayanan S, Nagaraja TG, Okwumabua O, Staats J, Chengappa MM, Oberst RD (1997) Ribotyping to compare Fusobacterium necrophorum isolates from bovine liver abscesses, ruminal walls, and ruminal contents. Appl Environ Microbiol 63:4671–4678 Narayanan S, Nagaraja TG, Okwumabua O, Staats J, Chengappa MM, Oberst RD (1997) Ribotyping to compare Fusobacterium necrophorum isolates from bovine liver abscesses, ruminal walls, and ruminal contents. Appl Environ Microbiol 63:4671–4678
6.
Zurück zum Zitat Nicholson LA, Morrow CJ, Corner LA, Hodgson AL (1994) Phylogenetic relationship of Fusobacterium necrophorum A, AB, and B biotypes based upon 16S rRNA gene sequence analysis. Int J Syst Bacteriol 44:315–319 Nicholson LA, Morrow CJ, Corner LA, Hodgson AL (1994) Phylogenetic relationship of Fusobacterium necrophorum A, AB, and B biotypes based upon 16S rRNA gene sequence analysis. Int J Syst Bacteriol 44:315–319
7.
Zurück zum Zitat Narongwanichgarn W, Misawa N, Jin JH, Amoako KK, Kawaguchi E, Shinjo T, Haga T, Goto Y (2003) Specific detection and differentiation of two subspecies of Fusobacterium necrophorum by PCR. Vet Microbiol 91:183–195 Narongwanichgarn W, Misawa N, Jin JH, Amoako KK, Kawaguchi E, Shinjo T, Haga T, Goto Y (2003) Specific detection and differentiation of two subspecies of Fusobacterium necrophorum by PCR. Vet Microbiol 91:183–195
8.
Zurück zum Zitat Aliyu SH, Marriott RK, Curran MD, Parmar S, Bentley N, Brown NM, Brazier JS, Ludlam H (2004) Real-time PCR investigation into the importance of Fusobacterium necrophorum as a cause of acute pharyngitis in general practice. J Med Microbiol 53:1029–1035 Aliyu SH, Marriott RK, Curran MD, Parmar S, Bentley N, Brown NM, Brazier JS, Ludlam H (2004) Real-time PCR investigation into the importance of Fusobacterium necrophorum as a cause of acute pharyngitis in general practice. J Med Microbiol 53:1029–1035
9.
Zurück zum Zitat Fredricks DN, Relman DA (1998) Improved amplification of microbial DNA from blood cultures by removal of the PCR inhibitor sodium polyanetholesulfonate. J Clin Microbiol 36:2810–2816PubMed Fredricks DN, Relman DA (1998) Improved amplification of microbial DNA from blood cultures by removal of the PCR inhibitor sodium polyanetholesulfonate. J Clin Microbiol 36:2810–2816PubMed
10.
Zurück zum Zitat Harris KA, Hartley JC (2003) Development of broad-range 16S rDNA PCR for use in the routine diagnostic clinical microbiology service. J Med Microbiol 52:685–691 Harris KA, Hartley JC (2003) Development of broad-range 16S rDNA PCR for use in the routine diagnostic clinical microbiology service. J Med Microbiol 52:685–691
11.
Zurück zum Zitat Brazier JS, Hall V, Yusuf E, Duerden BI (2002) Fusobacterium necrophorum infections in England and Wales 1990-2000. J Med Microbiol 51:269–272 Brazier JS, Hall V, Yusuf E, Duerden BI (2002) Fusobacterium necrophorum infections in England and Wales 1990-2000. J Med Microbiol 51:269–272
Metadaten
Titel
Molecular diagnosis of Fusobacterium necrophorum infection (Lemierre’s syndrome)
verfasst von
S. H. Aliyu
P. F. K. Yong
M. J. Newport
H. Zhang
R. K. Marriott
M. D. Curran
H. Ludlam
Publikationsdatum
01.03.2005
Erschienen in
European Journal of Clinical Microbiology & Infectious Diseases / Ausgabe 3/2005
Print ISSN: 0934-9723
Elektronische ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-005-1298-6

Weitere Artikel der Ausgabe 3/2005

European Journal of Clinical Microbiology & Infectious Diseases 3/2005 Zur Ausgabe

Announcements

March 2005

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.