Fusobacterium necrophorum intratonsillar abscess as a source of bacteremia in a patient with a history of substance abuse

A 22-year-old male, with a history of recreational drug use, was admitted with a 24-hour history of sore throat, bilateral otalgia, fever, chills, sweats, and pain in the upper chest. The blood cultures were positive for Fusobacterium necrophorum. A thoracic and neck soft tissue computed tomography...

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Bibliographic Details
Published in:Journal of infection in developing countries 2024-01, Vol.18 (1), p.158-161
Main Authors: Nanu, Claudiu, Ciocan, Liana Adela, Radu, Georgiana, Sumedrea, Liliana, Popescu, Gabriel Adrian, Borcan, Alina Maria
Format: Article
Language:English
Subjects:
Abscess
Adult
Bacteremia - complications
Bacteremia - diagnosis
Bacteremia - drug therapy
Fusobacterium Infections - complications
Fusobacterium Infections - diagnosis
Fusobacterium Infections - drug therapy
Fusobacterium necrophorum
Humans
Male
Substance-Related Disorders
Young Adult
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Summary:A 22-year-old male, with a history of recreational drug use, was admitted with a 24-hour history of sore throat, bilateral otalgia, fever, chills, sweats, and pain in the upper chest. The blood cultures were positive for Fusobacterium necrophorum. A thoracic and neck soft tissue computed tomography (CT) scan revealed an intratonsillar abscess and pulmonary septic emboli. Initial treatment with Piperacillin-tazobactam and Clindamycin was de-escalated after 5 days. The patient made a complete recovery after 22 days of antibiotic treatment.
ISSN:1972-2680
2036-6590
1972-2680
DOI:10.3855/jidc.18268