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Meningitis due toFusobacterium necrophorum subspeciesnecrophorum. Case report and review of the literature

Meningitis durch Fusobacterium necrophorum Subspecies necrophorum. Fallbeschreibung und Literaturübersicht

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This paper reports a case of fatal meningitis caused byFusobacterium necrophorum subsp.necrophorum in a previously healthy five-year-old child. The organism was isolated in pure culture from the cerebrospinal fluid and from intracranial pus obtained at autopsy. The role ofF. necrophorum in the development of meningitis is reaffirmed and its isolation and identification are discussed. The clinical presentation of the present case resembles the previously published reports and highlights the poor prognosis in spite of appropriate antibiotic treatment.


In der vorliegenden Arbeit wird der Fall eines vorher gesunden fünfjährigen Kindes beschrieben, das an einer Meningitis, verursacht durchFusobacterium necrophorum Subspeciesnecrophorum, verstorben ist. Der Keim wurde aus Liquor und autoptisch entnommenem intrakranialem Eiter in Reinkultur isoliert. Die Rolle vonFusobacterium necrophorum als Meningitiserreger und die Techniken zur Isolierung und Identifikation des Keimes werden diskutiert. Der vorgestellte Fall ähnelt früher publizierten Beschreibungen und verdeutlicht die schlechte Prognose der Infektion auch bei adäquater Antibiotika-Therapie.

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Jacobs, J.A., Stobberingh, E.E., Hendriks, J.J.E. et al. Meningitis due toFusobacterium necrophorum subspeciesnecrophorum. Case report and review of the literature. Infection 21, 57–60 (1993).

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