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Rheumatology 2000; 39: 224-225
© 2000 British Society for Rheumatology

Letters to the Editor

Bilateral gluteal abscesses as a unique manifestation of Fusobacterium septicaemia

M. C. Pickering, T. Barkham1, J. C. Mason, S. Shaunak1 and K. A. Davies2

1 Rheumatology Section, Division of Medicine, Department of Infectious Diseases, Imperial College School of Medicine, Hammersmith Hospital, Du Cane Road, London W12 0NN, UK

Sir, Human infection with Fusobacterium necrophorum produces a condition known as Lemierre's syndrome, post-anginal sepsis or necrobacillosis [1]. Typically patients complain of a severe sore throat and subsequently develop a septicaemic illness with abscesses occurring predominantly in the lungs and joints. We describe the case of a previously healthy 21-yr-old Caucasian female who, following a sore throat, developed septicaemia and bilateral gluteal abscesses. The diagnosis of Fusobacterium septicaemia was supported by the clinical presentation and the gas liquid chromatography (GLC) profile of the gluteal aspirates. The development of bilateral gluteal abscesses as the predominant metastatic manifestation of Fusobacterium septicaemia has not previously been reported.

A 21-yr-old Caucasian waitress developed a sore throat associated with pain on swallowing. The . . . [Full Text of this Article]

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Home page
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Human Infection with Fusobacterium necrophorum (Necrobacillosis), with a Focus on Lemierre's Syndrome
Clin. Microbiol. Rev., October 1, 2007; 20(4): 622 - 659.
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