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Complicated Fusobacterium Sinusitis: A Case Report

Saloni P Sheth1, Paul Ilkanich1, Blaise Congeni2

  • 1From the Department of Medical Education, Northeast Ohio Medical University, Rootstown, Ohio.

The Pediatric Infectious Disease Journal
|February 2, 2018
PubMed

Insights

Fusobacterium infections can cause Pott puffy tumor through sinusitis, not just pharyngitis. This study suggests expanding the definition of Lemierre syndrome to include complicated Fusobacterium sinusitis.

Area of Science:

  • Infectious Diseases
  • Otolaryngology
  • Head and Neck Surgery

Background:

  • Lemierre syndrome, a rare thrombophlebitis of the internal jugular vein, is typically linked to oropharyngeal infections.
  • Fusobacterium species are common oropharyngeal commensals but can cause invasive infections.

Observation:

  • This report details three cases of Fusobacterium sinusitis leading to Pott puffy tumor, a subgaleal abscess.
  • One of the presented cases also exhibited concurrent Lemierre syndrome.

Findings:

  • Fusobacterium sinusitis is a potential cause of Pott puffy tumor.
  • The clinical presentation of Lemierre syndrome may be broader than traditionally recognized, encompassing complicated sinusitis.

Implications:

  • Clinicians should consider Fusobacterium sinusitis in the differential diagnosis of Pott puffy tumor.
  • The diagnostic criteria for Lemierre syndrome may need revision to include cases originating from complicated sinusitis.

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