Septicemia due to Fusobacterium necrophorum. A case report

Septicemia due to the anaerobic gram-negative bacillus Fusobacterium necrophorum is exceptional. It may originate in tonsillitis or intestinal or gynecological infection. We report one case in a young man with head injury. Fusobacterium necrophorum is frequently associated with aerobic pathogens suc...

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Bibliographic Details
Published inLa semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris Vol. 58; no. 48; p. 2845
Main Authors Pera, J, Decoux, M, Ibanez, H, Isoux, P, Guyon, M
Format Journal Article
LanguageFrench
Published France 30.12.1982
Subjects
Adult
Craniocerebral Trauma - complications
Fusobacterium Infections - drug therapy
Fusobacterium Infections - etiology
Fusobacterium necrophorum
Humans
Male
Sepsis - etiology
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Summary:Septicemia due to the anaerobic gram-negative bacillus Fusobacterium necrophorum is exceptional. It may originate in tonsillitis or intestinal or gynecological infection. We report one case in a young man with head injury. Fusobacterium necrophorum is frequently associated with aerobic pathogens such as streptococcus or staphylococcus (more than fifty per cent of the cases). Metastatic localizations are numerous, often pleuro-pulmonary (infarction, abscess), hepatic (cytolysis) and meningeal (purulent meningitis, cerebral abscess), and in some instances articular (joint swelling) or embolic. Hypercoagulability is often associated. Prognosis is severe (45% mortality rate). Penicillin G seems to be the best antibiotic but erythromycin is effective, as well as imidazole which was very active in our case.