[Necrobacillosis and Lemierre's syndrome: case report]

Abstract

Necrobacillosis (Fusobacterium necrophorum septicaemia) and Lemierre's syndrome (human necrobacillosis with cephalic origin) are not widely known by clinicians.

Case report: We report the case of a 5-year-old girl, presenting with a Lemierre's syndrome consecutive to otitis media. Outcome was favourable under metronidazole and amoxicilline therapy for 6 weeks.

Conclusion: Necrobacillosis remains a severe disease including peripheral abscesses (mainly in the lungs and the liver), often associated with thrombosis of the internal jugular vein in case of Lemierre's syndrome. Prolonged metronidazole and amoxicilline antibiotherapy allows nowadays a healthy outcome.