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[Necrobacillosis and Lemierre's syndrome: case report].

F Valla1, C Berchiche, D Floret

  • 1Département de pédiatrie, hôpital Edouard-Herriot, 69437 Lyon 03, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|December 4, 2003
PubMed
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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.

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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.