[Necrobacillosis and Lemierre's syndrome: case report].
Necrobacillosis (Fusobacterium necrophorum septicaemia) and Lemierre's syndrome (human necrobacillosis with cephalic origin) are not widely known by clinicians.


METHODS
We report the case of a 5-year-old girl, presenting with a Lemierre's syndrome consecutive to otitis media. Outcome was favourable under metronidazole and amoxicilline therapy for 6 weeks.


CONCLUSIONS
Necrobacillosis remains a severe disease including peripheral abscesses (mainly in the lungs and the liver), often associated with thrombosis of the internal jugular vein in case of Lemierre's syndrome. Prolonged metronidazole and amoxicilline antibiotherapy allows nowadays a healthy outcome.
Valla
F
F
Département de pédiatrie, hôpital Edouard-Herriot, 69437 Lyon 03, France.
Berchiche
C
C
Floret
D
D
D000658:Amoxicillin / Q000627:therapeutic use; D000890:Anti-Infective Agents / Q000627:therapeutic use; D001927:Brain Diseases / Q000382:microbiology* / Q000473:pathology; D002675:Child, Preschool; D005260:Female; D005674:Fusobacterium Infections / Q000188:drug therapy* / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007601:Jugular Veins; D008795:Metronidazole / Q000627:therapeutic use; D010033:Otitis Media / Q000150:complications; D010406:Penicillins / Q000627:therapeutic use; D013577:Syndrome; D020246:Venous Thrombosis / Q000209:etiology
D000890:Anti-Infective Agents; D010406:Penicillins; D008795:Metronidazole; D000658:Amoxicillin