{Reference Type}: Case Reports {Title}: Fusobacterium necrophorum intratonsillar abscess as a source of bacteremia in a patient with a history of substance abuse. {Author}: Nanu C;Ciocan LA;Radu G;Sumedrea L;Popescu GA;Borcan AM; {Journal}: J Infect Dev Ctries {Volume}: 18 {Issue}: 1 {Year}: 2024 Jan 31 {Factor}: 2.552 {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.