Fusobacterium necrophorum Middle Ear Infections in Children and Related Complications

Abstract

Based on bacteriologic investigation, we recommend systematic culture for anaerobes and that antibiotic treatment of F. necrophorum middle ear infections and subsequent complications includes coverage for anaerobic bacteria.

A Unique Case of Lemierre’s Syndrome in a patient with Otitis Media

“…[5] report an additional 3 cases of mastoiditis that resulted in Lemierre's syndrome in 2 infant and one pre-school child. Septic spread of otitis media usually involves preschool children, and most commonly results in meningitis rather than internal jugular venous thrombophlebitis [6] . Other extra pharyngeal sources such as lungs, teeth and sinuses have also been described.…”

A 17-Year-Old Adolescent with Persistent Sore Throat

“…It can occur secondary to sinusitis, parotitis, mediastinitis, dental and middle ear infections. [2][3][4][5][6] Suppurative thrombophlebitis of the external jugular vein has been documented in two patients. 7,8 F. nechrophorum subspecies funduliforme is the causative pathogen in most of the cases.…”

Neutrophilic bacterial meningitis: pathology and etiologic diagnosis of fatal cases

“…27 In our series, there was one case with Fusobacterium, a commensal of the oral cavity, which has occasionally been reported to cause meningitis particularly after manipulation of teeth (including cleaning) has occurred. [28][29][30] The patient with Fusobacterium was a college student who presented with 6 days of fever, chills, neck pain, changes in voice, and difficulty in swallowing, all symptoms that suggest Lemierre's syndrome, which is usually caused by Fusobacterium although vessel thrombosis was not documented in this case. In our series, the last case where an etiologic agent was identified corresponded to a 68-year-old diabetic patient with urosepsis, in which enterococci were cultured post-mortem from the blood and CSF by the submitting facility.…”