title: Septic arthritis secondary to fusobacterium necrophorum in a 4-year-old girl: case report and review of the literature.
abstract: We report an unusual case of septic arthritis in a 4-year-old child caused by Fusobacterium necrophorum. In spite of aggressive parenteral antibiotic therapy with ampicillin-sulbactam after surgical drainage, disease recurred, requiring additional arthrotomies. The infection was eventually eradicated with parenteral meropenem and clindamycin, and additional surgical drainage.
authors.affiliation: University of Minnesota School of Medicine, Minneapolis, MN, USA.
authors.forename: Christine M
authors.initials: CM
authors.lastname: Trapp
authors.forename: Junichi
authors.initials: J
authors.lastname: Tamai
authors.forename: Mark R
authors.initials: MR
authors.lastname: Schleiss
mesh_terms: D000667:Ampicillin / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology*; D001182:Arthroscopy; D002675:Child, Preschool; D004359:Drug Therapy, Combination; D005260:Female; D005500:Follow-Up Studies; D005674:Fusobacterium Infections / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D005675:Fusobacterium necrophorum / Q000302:isolation & purification*; D006801:Humans; D010147:Pain Measurement; D020127:Recovery of Function; D018570:Risk Assessment; D012720:Severity of Illness Index; D013407:Sulbactam / Q000008:administration & dosage; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; C035444:sultamicillin; D000667:Ampicillin; D013407:Sulbactam