title: A previously healthy 15-year-old girl with high fever and progressive dyspnoea.
abstract: A 15-year-old girl was admitted with a high fever and progressive malaise, vomiting, anorexia and abdominal complaints. She previously had a sore throat and unilateral painful swollen lymph nodes in the neck. Laboratory investigation indicated a bacterial infection. Blood cultures were taken. There was infiltrate in the left lung. Pneumonia complicated with sepsis was suspected and ceftriaxone was started. The patient's condition deteriorated. Computed tomography (CT) scan showed progressive infiltrates in both lungs and pleural effusion. Blood culture led to the diagnosis. After changing antibiotics the patient slowly improved. Antibiotics were continued for several weeks.
authors.affiliation: Paediatrics, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands. e_vandelft@yahoo.com
authors.forename: Eveline
authors.initials: E
authors.lastname: van Delft
authors.forename: Maartje
authors.initials: M
authors.lastname: Vandewall
authors.forename: Franklin B
authors.initials: FB
authors.lastname: Curiel
authors.forename: Matthieu J C M
authors.initials: MJ
authors.lastname: Rutten
authors.forename: Peter M
authors.initials: PM
authors.lastname: Schneeberger
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004417:Dyspnea / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D005335:Fever of Unknown Origin / Q000188:drug therapy / Q000209:etiology*; D005674:Fusobacterium Infections / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D005675:Fusobacterium necrophorum / Q000302:isolation & purification / Q000472:pathogenicity; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging* / Q000503:physiopathology; D010612:Pharyngitis; D011859:Radiography; D011877:Radionuclide Imaging; D018805:Sepsis; D013577:Syndrome
chemical_list: D000900:Anti-Bacterial Agents