title: Fusobacterium necrophorum in a pediatric retropharyngeal abscess: A case report and review of the literature.
abstract: We present the case of a 17-year-old boy who developed a deep space neck infection following cervical trauma. He was initially managed conservatively with broad-spectrum antibiotics, but when he failed to improve clinically, he required surgical drainage. Wound cultures grew Fusobacterium necrophorum, an uncommon pathogen that can cause pediatric deep neck space infections, especially when it is not associated with Lemierre syndrome. The prognosis for this infection is favorable when it is identified early. Treatment with culture-directed antibiotics and surgical drainage as indicated is appropriate. When treating a pediatric deep neck space infection empirically, physicians should avoid treatment with a macrolide antibiotic, since Fusobacterium spp may be involved and they are often resistant to this class of drugs.
authors.affiliation: Division of Pediatric Otolaryngology, Cohen Children's Medical Center, Hofstra North Shore-LIJ School of Medicine, New Hyde Park, NY, USA.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Cheng
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Kleinberger
authors.forename: Andrew
authors.initials: A
authors.lastname: Sikora
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D005674:Fusobacterium Infections / Q000150:complications* / Q000628:therapy; D005675:Fusobacterium necrophorum / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D017703:Retropharyngeal Abscess / Q000382:microbiology* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents