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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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References

Barnes, E. M. (1979) in Identification Methods for Microbiologists, 2nd Edn, (Skinner, F A. & Lovelock, D. W., Eds.) Academic Press: London, p. 189200.Google Scholar
Eyken, S. J. (1989) Necrobacillosis. Scandinavian Journal of Infectious Diseases, Supplement 62: 4146.Google Scholar
Finegold, S. M. (1977) in Anaerobic Bacteria in Human Disease. Academic Press: New York.Google Scholar
Gower, D., McGuirt, W. F (1983) Intracranial complications of acute and chronic infectious ear disease: A problem still with us. Laryngoscope, 93: 10281033.CrossRefGoogle ScholarPubMed
Holdeman, L. V., Cato, E. P., Moore, W. E. C. (1977) in Anaerobe Laboratory manual 4th edn, VPI Anaerobe Laboratory, Virginia Polytechnic Institute and State University.Google Scholar
Ludman, H. (1987) Complications of suppurative otitis media. In Scott-Brown's Otolaryngology, 5th. Ed. (Booth, J. B., Kerr, A. G. eds), Vol 3 Butterworths: London p. 275278.Google Scholar
Moore-Gillon, J., Lee, T. H., Eyken, S. J., Phillips, I. (1984). Necrobacillosis: a forgotten disease. British Medical Journal, 288: 15261527.CrossRefGoogle ScholarPubMed
Tarnvik, A. (1986) Anaerobic Meningitis in Children. European Journal of Clinical Microbiology, 5(3): 271274.CrossRefGoogle ScholarPubMed
Tarnvik, A., Sundqvist, G., Gothefors, L., Gustafsson, H. (1986) Meningitis caused by Fusbacterium necrophorum. European Journal of Clinical Microbiology, 5(3): 353355.CrossRefGoogle Scholar