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Anaesth Intensive Care · Oct 2007
Review Case ReportsLemierre's syndrome with septic shock caused by Fusobacterium necrophorum.
- D Wang, A K Price, K K Leitch, M Salvadori, R N Singh, A Kornecki, S D McKillop, and D D Fraser.
- Children's Hospital of Western Ontario, University of Western Ontario, Schulich School of Medicine, London, Ontario, Canada.
- Anaesth Intensive Care. 2007 Oct 1;35(5):796-801.
AbstractFusobacterium necrophorum infections are rare. We report a 15-year-old male who presented with tachycardia, nausea, vomiting, diarrhoea and ankle pain. He rapidly deteriorated requiring ventilation and vasopressors. Imaging of his thorax showed airspace consolidation, pulmonary cavitations and empyema. The ankle required drainage of purulent material. A thrombus in his internal jugular vein (Lemierre's syndrome) and an abscess in his obturator internus were subsequently found. Fusobacterium necrophorum was identified in blood culture on day nine. The patient recovered with antibiotics and surgical interventions for empyema and septic arthritis. Fusobacterium necrophorum should be a suspected pathogen in septic shock complicated by metastatic abscess formation.
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