Fusobacterium necrophorum intratonsillar abscess as a source of bacteremia in a patient with a history of substance abuse

Claudiu Nanu; Liana Adela Ciocan; Georgiana Radu; Liliana Sumedrea; Gabriel Adrian Popescu; Alina Maria Borcan

doi:10.3855/jidc.18268

Fusobacterium necrophorum intratonsillar abscess as a source of bacteremia in a patient with a history of substance abuse

Authors

Claudiu Nanu University of Medicine and Pharmacy “Carol Davila”, Dionisie Lupu 37, 020022, Bucharest, Romania https://orcid.org/0009-0006-8595-0233
Liana Adela Ciocan University of Medicine and Pharmacy “Carol Davila”, Dionisie Lupu 37, 020022, Bucharest, Romania https://orcid.org/0009-0002-7498-1115
Georgiana Radu University of Medicine and Pharmacy “Carol Davila”, Dionisie Lupu 37, 020022, Bucharest, Romania
Liliana Sumedrea University of Medicine and Pharmacy “Carol Davila”, Dionisie Lupu 37, 020022, Bucharest, Romania https://orcid.org/0009-0001-2834-6885
Gabriel Adrian Popescu National Institute for Infectious Diseases “Prof. Dr. Matei Bals”, Grozovici 1, 021105, Bucharest, Romania
Alina Maria Borcan National Institute for Infectious Diseases “Prof. Dr. Matei Bals”, Grozovici 1, 021105, Bucharest, Romania https://orcid.org/0009-0007-4208-6649

DOI:

https://doi.org/10.3855/jidc.18268

Keywords:

Fusobacterium necrophorum, bacteremia, abscess, septic pulmonary emboli, substance abuse

Abstract

A 22-year-old male, with a history of recreational drug use, was admitted with a 24-hour history of sore throat, bilateral otalgia, fever, chills, sweats, and pain in the upper chest. The blood cultures were positive for Fusobacterium necrophorum. A thoracic and neck soft tissue computed tomography (CT) scan revealed an intratonsillar abscess and pulmonary septic emboli. Initial treatment with Piperacillin-tazobactam and Clindamycin was de-escalated after 5 days. The patient made a complete recovery after 22 days of antibiotic treatment.

Author Biography

Gabriel Adrian Popescu, National Institute for Infectious Diseases “Prof. Dr. Matei Bals”, Grozovici 1, 021105, Bucharest, Romania

Professor of Infectious Diseases

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Published

2024-01-31

How to Cite

Nanu C, Ciocan LA, Radu G, Sumedrea L, Popescu GA, Borcan AM (2024) Fusobacterium necrophorum intratonsillar abscess as a source of bacteremia in a patient with a history of substance abuse. J Infect Dev Ctries 18:158–161. doi: 10.3855/jidc.18268

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Issue

Vol. 18 No. 01: January 2024

Section

Case Reports

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