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Fusobacterium: The Sore Throat That Can Kill You

Mike Mooney, MD and Kevin Wineinger, MD
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No me gusta!

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Fusobacterium is a common cause of pharyngitis and associated with the horrendous Lemierre’s disease. Does that mean that we should antibiose everyone with sore throat, even if they have a negative strep test?

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Casey P. -

Hi Mike & Kevin
Re: Dr Centor's new Fusobacterium study
Man I did not like this study! At best it shows that there is a high carriage rate of Fuso in asymptomatic young people. No viral swab / PCR etc to show if that was a cause of symptoms?
I am concerned it will scare folk into treating more sore throats without great data for patient-oriented beneficial outcomes.
Not changing my position based upon this!
Casey

Kevin W. -

I hear you Casey. I think Centor is setting the stage for further studies to investigate Fuso as a culprit in pharyngitis. Obviously check for viral etiologies and maybe treat some fuso pharyngitis and look at outcomes.

In hindsight, I wish we would have highlighted the presentation of Lemierre's a bit more, but you live and learn. Thanks for taking the time to give us feedback.
Kevin

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