PEDIATRICS Vol. 57 No. 4 April 1976, pp. 570-571
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Complications of Peritonsillar Abscess Due to Fusobacterium necrophorum

James M. Oleske M.D.1, Stuart E. Starr M.D.1, and André J. Nahmias M.D.1

1 Division of Infectious Diseases and Immunology, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia

Even though anaerobic bacteria have been causally related to peritonsillar abscesses and secondary complications,1-3 such infections have been diagnosed infrequently. Reported here is a patient with a peritonsillar abscess, complicated by cellulitis and lung abscesses. An anaerobic organism, Fusobacterium necrophorum,, was identified as the etiological agent.

CASE REPORT

A 14-year-old black boy was in good health until three weeks prior to admission when he developed a sore throat, dysphasia, fever, and chills. His physician diagnosed viral pharyngitis; a throat culture was not obtained and no antimicrobial therapy was prescribed. During the following 12 days, because the patient had developed a nonproductive cough and experienced a 4.52-kg weight loss, he was brought to the Pediatric Emergency Clinic, Grady Memorial Hospital.