Invasive Species Compendium

Detailed coverage of invasive species threatening livelihoods and the environment worldwide

Abstract

Fusobacterium necrophorum septicemia following oropharyngeal infection.

Abstract

"Fusobacterium necrophorum septicaemia developed in five patients after an oropharyngeal infection. Four patients had sore throat or neck pain, and two had findings of jugular vein septic thrombophlebitis. Metastatic abscesses, including embolie pneumonia, empyema, septic arthritis, and osteomyelitis, also occurred. Four patients recovered and one died. Proper treatment requires recognition of the oropharyngeal source of the septicaemia and its differentiation from endocarditis. Antibiotic therapy should be prolonged, and metastatic abscesses drained."
The authors noted "a suboptimal response" to penicillin G potassium therapy and the need for prolonged administration of antibiotics. They tested for antibiotic susceptibility but the results did not help. Two patients were successfully treated with cefoxitin. D. W. FitzSimons