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Otogenic Fusobacterium necrophorum meningitis

Published online by Cambridge University Press:  29 June 2007

Albert Pace-Balzan*
Affiliation:
University Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL.
Andrew O. Keith
Affiliation:
University Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL.
Jane W. A. Curley
Affiliation:
University Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL.
Richard T. Ramsden
Affiliation:
University Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL.
Helen Lewis
Affiliation:
Department of Paediatrics, Park Hospital, Manchester M31 3SL.
*
A. Pace-Balzan F.R.C.S.. Department of Otolaryngology, Ancoats Hospital, Old Mill Street. Manchester M4 6EB.

Abstract

A case of meningitis secondary to acute suppurative otitis media in a previously healthy child is reported. The only organism isolated from blood after aerobic and prolonged anaerobic culture was identified as Fusobacterium necrophorum. Complete recovery followed treatment with surgery and prolonged antibiotic therapy. The role of anaerobes in the development of meningitis, the isolation and identification of Fusobacterium necrophorum, the clinical presentations of F. necrophorum infection and the choice of antibiotics in the treatment of these infections are discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1991

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