Dufillot D, Germaneau J, Taieb A, Fontan D, Guillard J M
Arch Fr Pediatr. 1986 Nov;43(9):719-21.
A fusobacterium necrophorum septicemia due to a neglected peritonsillar abscess is reported in a 7 year-old boy with no significant past medical history. Osteo-articulary, hepatic and pleuro-pulmonary septic localizations, with an otherwise favourable outcome left severe orthopedic sequelae in the right hip. This resembles the post-peritonsillar abscess septicemia described by Lemierre in 1936 which was due to an anaerobic bacillus (fusobacterium). The reappearance of this pathology should lead to systematic anaerobic blood and abscess studies. Penicillin G and Metronidazole are still efficient in controlling this organism.
本文报道了一名7岁男孩，既往无重大病史，因被忽视的扁桃体周围脓肿导致坏死梭杆菌败血症。骨-关节、肝脏和胸膜-肺部发生感染性局部病变，尽管总体预后良好，但右髋关节留下了严重的骨科后遗症。这类似于1936年Lemierre描述的扁桃体周围脓肿后败血症，其病因是一种厌氧杆菌（坏死梭杆菌）。这种疾病的再次出现应导致系统地进行厌氧血液和脓肿检查。青霉素G和甲硝唑在控制这种病菌方面仍然有效。
