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.
Infectious Disease Clinic, Naval Medical Center, San Diego, California 92134-1005, USA. nancy.crum@med.navy.mil
Nancy
N
Crum-Cianflone
Richard
R
Mayer
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