TABLE 4.
Parameter | Value from:
|
|||||
---|---|---|---|---|---|---|
Reference 136
|
Reference 177
|
Current review
|
||||
Necrobacillosisa | Lemierre's syndrome | Necrobacillosisa | Lemierre's syndrome | Necrobacillosisa | Lemierre's syndrome | |
No. of cases | 44 | 29 | 24 | 15 | 251 | 222 |
Age range (yr) | 0.1-65 | 9-32 | 0.6-46 | 14-31 | 0.2-73 | 0.7-70 |
Median age (yr) | 22.6 (male), 20.4 (female) | 17 | 19 | 18 | 19 | |
% Male | 67 | 66 | 67 | 67 | 55 | 57 |
% of cases with: | ||||||
F. necrophorum | 100b | 100b | 100b | 100b | 100b | 68 |
Any Fusobacterium sp. | 100 | 100b | 100b | 100b | 100b | 86 |
F. necrophorum or Fusobacterium sp. in mixed culture | 2 | 3 | 33 | 40-53 | 12 | 12 |
Other organism without fusobacteria | NAb,c | NAb | NAb | NAb | NAb | 8 |
IJV thrombosis | 4.5 | 3.4 | NR | NR | 37 | 59 |
Metastases | 75 | 97 | 63 | 80 | 73 | 100 |
Lung lesions | 55 | 79 | 54 | 80 | 60 | 92 |
Empyema | NRd | NR | 17 | 27 | 12 | 17 |
Septic arthritis | 18 | 21 | 0 | 0 | 12 | 11 |
Osteomyelitis | 7 | 3.4 | 0 | 0 | 7 | 5.4 |
Muscle involvement | 0 | 0 | 0 | 0 | 5 | 7.2 |
Skin involvement | 0 | 0 | 0 | 0 | 2.3 | 3.1 |
Liver abscess | 2.3 | 3.4 | 4.2 | 0 | 6 | 4.0 |
Meningitis | 9 | 3.4 | 4.2 | 0 | 8 | 1.4 |
Cerebral abscess | 2.3 | 3.4 | 0 | 0 | 3.6 | 1.8 |
Septic shock | NR | NR | NR | NR | NR | 7 |
Renal failure | 2.3 | 3.4 | NR | NR | NR | 2 |
Disseminated intravascular coagulation | 7 | 10 | 29 | 47 | NR | 4 |
Antibiotic duration | NR | Mean, 6 wk | 0-58 days (median, 17 days) | 0-35 days (median, 18 days) | NR | NR |
% Mortality | 4.5 | 3.4 | 0 | 0 | 7 | 4.9 |
Excludes cases arising outside the head and neck.
Determined by entry criteria used by authors.
NA, not applicable.
NR, not recorded.