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Published on: August 15, 2020
[Necrobacillosis and Lemierre's syndrome: case report]
F Valla1, C Berchiche, D Floret
1Département de pédiatrie, hôpital Edouard-Herriot, 69437 Lyon 03, France.
Summary
Necrobacillosis, a severe disease, and Lemierre's syndrome are often unrecognized. Prompt treatment with antibiotics can lead to favorable outcomes in pediatric cases.
Area of Science:
- Infectious Diseases
- Microbiology
- Pediatrics
Background:
- Necrobacillosis, caused by Fusobacterium necrophorum, and Lemierre's syndrome are infrequently recognized by clinicians.
- Lemierre's syndrome, a severe form of human necrobacillosis originating in the head, is characterized by potential complications.
Observation:
- A case report details a 5-year-old girl diagnosed with Lemierre's syndrome secondary to otitis media.
- The patient presented with symptoms indicative of severe infection and potential vascular involvement.
Findings:
- Necrobacillosis can manifest with peripheral abscesses, commonly affecting the lungs and liver.
- Internal jugular vein thrombosis is a frequent complication associated with Lemierre's syndrome.
Implications:
- Early recognition and diagnosis of necrobacillosis and Lemierre's syndrome are crucial for effective management.
- Prolonged antibiotic therapy, including metronidazole and amoxicillin, is effective in achieving favorable outcomes.
- This case highlights the importance of considering these rare but severe infections in pediatric patients with otitis media.
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