%0 Case Reports
%T Fusobacterium necrophorum intratonsillar abscess as a source of bacteremia in a patient with a history of substance abuse.
%A Nanu C
%A Ciocan LA
%A Radu G
%A Sumedrea L
%A Popescu GA
%A Borcan AM
%J J Infect Dev Ctries
%V 18
%N 1
%D 2024 Jan 31
%M 38377084
%F 2.552
%R 10.3855/jidc.18268
%X 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.