François P, Plasse M, Frappat P, Guthmann J P, Dubourgel S, Pincemaille O, Beaudoing A
Département de Pédiatrie, C.H.R.U. de Grenoble.
Arch Fr Pediatr. 1989 Oct;46(8):589-90.
In a 9 month-old infant admitted to hospital for a fever with chilles, anaerobic blood cultures isolated Fusobacterium necrophorum. On the 5th day of intravenous treatment with amoxicillin and metronidazole clinical signs of mastoiditis, the likely source of the sepsis, became apparent. Septicemias with Fusobacterium necrophorum are usually observed in teenagers and young adults during an acute bout of tonsilitis. This type of infection is exceptional in infants and requires a careful search for a primary focus in facial cavities and in the base of the skull.
一名9个月大的婴儿因发热伴寒战入院,厌氧血培养分离出坏死梭杆菌。在用阿莫西林和甲硝唑进行静脉治疗的第5天,乳突炎的临床症状(败血症可能的来源)变得明显。坏死梭杆菌败血症通常在青少年和年轻成年人急性扁桃体炎发作期间观察到。这种类型的感染在婴儿中很罕见,需要仔细寻找面腔和颅底的原发灶。