Fusobacterium necrophorum - jscm.org

1 Fusobacterium necrophorum 1) 1) 1) 2) 1)1) 2) 20"1 15# % 20"5 14# & 7 ( )*%& +, (+ *+ (. +,/ 01 2 4 25 # 6475 2 4 5 8 9 : 8 CRP43mg/dl2; < > < (PAPM/BP) Ceftriaxone ( = BC D,EF > G / H@ IJ 2 O B P > 5 8 QR > S Fusobacte-rium necrophorum2 D BF 2 PAPM/BP T>H = (UV Key words: Fusobacterium necrophorum , QR YZ > Fusobacterium necropho-rum [\ ] ^_2 ( L B MN MN P P Lemierre cd ef>2 1) g( iU *+ 4 T>H W 4(k" 2 forgotten disease2mn (. 2) qXrG +,2 tYu Z 5 F. necrophorum O B v[ *w T>H ]2 BF y = ^Q |r 7 ( Z +, 01 ~ _ _ 2 _ 6 6# 41 +, 6 7# k 6 c 2 Te < 2cd m+, 6 9# G g G k 6 c cefditren pivoxil i j k.

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4 18 No. 3 CD23 48 MIC benzylpenicillin , ampicillin , piperacillin , ceftizoxime , cefmetazole , flomoxef , imipenem/cilastatin , amoxicillin/clavulanic acid , clindamycin , minocycline , chloramphenicol2mg/ml, sparfloxacin 2mg/ml! "# &' ( *+ # - 1 ! 4 56 8 9 Q; MRI <2 # > @ B CD 1FG CT <3 5I# J ring enhancement K L ! MN !OM @ P C R+ S 4T - MN V ! Z MN - ! V ]^ #` a$ N %11 S c dZS e* f Q; +2ml h ij f ij N k @ o II q Sij . BAP, CHOC 7 /u ACBA x @ S 1 Q + ! HK 3 |5 k 8 9h# " OS <+ - # + MN&O f & @- MN R+ PAPM/BPA S %18 S C R+ C S & MN %24 S V 4F G !)

5 ( '4 R+ C SH S ( S 1 ; VK# 4F. necropho-rum- . N 8 S 1 56 ; F. necrophorum <+# 4 9 ! L V P cS PV LemierreV & +! N 11) LemierreV !9 N1VK- S 1! K - 43) 1 S *+ 5I .U W- X 4 - SF. necrophorum .U- - ! XS S R+ - M<2. MRI. @ B \ K *\ <3. CT. MRI! JSring enhance-ment K @ 1 ` de 1O g ij ` de 1O g ij l o Vol. 18 No. 3 4) F. necrophorum Lemierre "# $%& & () *+, - / 3 678 9 : = ? @ $%-C D F Lemierre Q L D 9 M N O = R T U 3 N F = X@ Y [\]- _ ` : X c : e f D F g O 2hi *j k l 3 -n g : F.

6 necrophorum Lemierre o p q - 5hi *j r t 6) uC vw lx y 9 { g g )i |3 -}~ ( * *j O F. necrophorum 15 2 1 t 5) g * D {3 -. / [ j j 7) j 8 3 - ? 4 D F : j j C F. necropho-rum 8 3 D 6 F 8 8 8 < Y 678 : [ > : / D 9 3 & 8 8 67 Y R A * 18 M D 2007 2 R 4 1) Lemierre, A. 1936. On certain septicaemias dueto anaerobic organisms. Lancet i: 701 ) Moore-Gillion, J., T. H. Lee, S. J. Eykyn, et Necrobacillosis: A forgotten disease.]]}

7 J. 288: 19 May3) Ramirez, S., T. G. Hild, C. N. Rudolph, et Increased diagnosis of Lemierre syn-drome and otherFusobacterium necrophoruminfections at a children s hospital. Pediatrics112: e380 ) Brazier, J. S. 2006. Human infections withFuso-bacterium 12: 165 ) Brazier, J. S., V. Hall, E. Yusuf, et al. necrophoruminfections in Eng-land and Wales 1990 2000. J. Med. : 269 ) Perovic, M., T. Maretic, J. Begovac, 2006. Sepsiscaused byFusobacterium necrophorum (Le-mierre syndrome): A rare complication of acutepharyngotonsilitis. Acta Med Croatica 60: 509 ) Gomes, B. P., E. T. Pinheiro, C. R. Gade-Neto, etal. 2004. Microbiological examination of in-fected dental root canals. Oral Microbiol. Im-munol. 19: 71 76. j f -9 3 j f -9 3 M D Vol.

8 18 No. 3 of Retropharyngeal Lymph Node Abscess WhichFusobacterium necrophorumWas Isolated from Blood CultureKeiko Kaiho,1)Naruhiko Ishiwada,1)Haruka Hishiki,1)Masaharu Watanabe,2)Yoichi Kohno1)1)Department of Pediatrics, Chiba University Graduate School of Medicine2)Division of Clinical Laboratory, Chiba University HospitalWe presented 7-year-old boy who suddenly developed with high fever, sore throat, delirium and necksti#ness. Antibiotics for bacterial meningitis were started, but his neck pain was remained. Cervical MRIand CT showed abscess in retropharyngeal lymph node. Abscess drainage was performed and panipenem/betamipron was used for 2 weeks. The patient recovered completely. AsF. necrophorumwas isolated fromthe patient s blood culture of the admission day, the patient was diagnosed as retropharyngeal lymph nodeabscess caused byF.

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