Life-threatening appendicitis caused by Fusobacterium necrophorum

Trine Langfeldt Hagen, Yasuko Maeda, Jens Aage Lindberg, Mogens Rørbæk Madsen

Research output: Contribution to journalArticle


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.

Translated title of the contributionLife-threatening appendicitis caused by Fusobacterium necrophorum
Original languageUndefined/Unknown
JournalUgeskrift for laeger
Issue number25A
Publication statusPublished - 15 Dec 2014


  • Abdominal Abscess/microbiology
  • Adolescent
  • Anti-Bacterial Agents/administration & dosage
  • Appendicitis/microbiology
  • Critical Illness
  • Female
  • Fusobacterium Infections/complications
  • Fusobacterium necrophorum/isolation & purification
  • Humans
  • Necrosis/microbiology
  • Omentum/microbiology
  • Shock, Septic/microbiology


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