An unusual case of Lemierre's syndrome presenting as pyomyositis.
Fusobacteria are most often associated with the classic presentation of Lemierre's syndrome consisting of a sore throat, internal jugular vein thrombophlebitis, and septic emboli to the lungs. Unusual presentations due to the causative organism, F. necrophorum, may occur. We present such a case involving a 17-year-old male patient with pyomyositis and fasciitis due to necrobacillosis. Fusobacterium spp. should be considered in the differential diagnosis of cases involving sepsis syndrome and pyomyositis.
Crum-Cianflone
Nancy
N
Infectious Disease Clinic, Naval Medical Center, San Diego, California 92134-1005, USA. nancy.crum@med.navy.mil
Mayer
Richard
R
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005674:Fusobacterium Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D005675:Fusobacterium necrophorum / Q000187:drug effects / Q000302:isolation & purification*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D018410:Pneumonia, Bacterial / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D052880:Pyomyositis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D013577:Syndrome; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents