关键词: Fusobacterium necrophorum abscess bacteremia septic pulmonary emboli substance abuse

Mesh : Male Humans Young Adult Adult Fusobacterium necrophorum Abscess Fusobacterium Infections / complications diagnosis drug therapy Bacteremia / complications diagnosis drug therapy Substance-Related Disorders

来  源:   DOI:10.3855/jidc.18268

Abstract:
A 22-year-old male, with a history of recreational drug use, was admitted with a 24-hour history of sore throat, bilateral otalgia, fever, chills, sweats, and pain in the upper chest. The blood cultures were positive for Fusobacterium necrophorum. A thoracic and neck soft tissue computed tomography (CT) scan revealed an intratonsillar abscess and pulmonary septic emboli. Initial treatment with Piperacillin-tazobactam and Clindamycin was de-escalated after 5 days. The patient made a complete recovery after 22 days of antibiotic treatment.
摘要:
一个22岁的男性,有消遣性吸毒的历史,有24小时喉咙痛的病史,双侧耳痛,发烧,发冷,出汗,上胸部疼痛。血液培养物对坏死梭杆菌呈阳性。胸部和颈部软组织计算机断层扫描(CT)扫描显示扁桃体内脓肿和肺败血症栓子。5天后,哌拉西林他唑巴坦和克林霉素的初始治疗逐渐降低。患者在抗生素治疗22天后完全康复。
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