A Case of Fusobacterium necrophorum without Lemierre’s Syndrome Mimicking Acute Leptospirosis
Joint Authors
Shibazaki, Shunichi
Yasuhara, Ryo
Yamanouchi, Takayoshi
Source
Case Reports in Infectious Diseases
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-09-22
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Jaundice, conjunctival hyperemia, and acute kidney injury (AKI) are the characteristics of leptospirosis.
However, it is not well known that Fusobacterium necrophorum infection can have a clinical picture similar to that of leptospirosis.
A 38-year-old man was admitted with jaundice, conjunctival hyperemia, and AKI for 7 days.
Chest CT scan showed multiple pulmonary nodules, atypical for leptospirosis.
We started treatment with IV piperacillin-tazobactam and minocycline.
He became anuric and was urgently started on hemodialysis on the second hospital day.
Later on, blood cultures grew Fusobacterium necrophorum and other anaerobic bacteria.
Antibody and PCR assays for Leptospira were negative.
We narrowed the antibiotics to IV ceftriaxone and metronidazole.
He responded well to the treatment and was discharged on the 18th hospital day.
F.
necrophorum infection is known to cause mixed infection with other anaerobic bacteria.
The resistance of many anaerobic bacteria continues to progress, and F.
necrophorum itself sometimes produces β-lactamase.
This case highlights the potential risks of using penicillin before diagnosis of leptospirosis.
American Psychological Association (APA)
Yasuhara, Ryo& Shibazaki, Shunichi& Yamanouchi, Takayoshi. 2019. A Case of Fusobacterium necrophorum without Lemierre’s Syndrome Mimicking Acute Leptospirosis. Case Reports in Infectious Diseases،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1136999
Modern Language Association (MLA)
Yasuhara, Ryo…[et al.]. A Case of Fusobacterium necrophorum without Lemierre’s Syndrome Mimicking Acute Leptospirosis. Case Reports in Infectious Diseases No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1136999
American Medical Association (AMA)
Yasuhara, Ryo& Shibazaki, Shunichi& Yamanouchi, Takayoshi. A Case of Fusobacterium necrophorum without Lemierre’s Syndrome Mimicking Acute Leptospirosis. Case Reports in Infectious Diseases. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1136999
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1136999