Necrobacillosis

Write about Necrobacillosis here.


• Also known as Lemiere's disease

• Unusual cause of lung abscess

• Associated with a very characteristic clinical picture =>

• Young adult:

• Severe sore throat

• Cervical adenopathy due to infection with the anaerobe, Fusobacterium necrophorum

• Associated with a local venulitis, followed by Septicaemic illness

• Haematogenous spread of infection

• Lungs frequently involved with multiple abscesses forming, often with a pleural empyema and evidence of infection elsewhere - e.g. septic arthritis, osteomyelitis

• Prolonged anaerobic blood culture is required to identify the organism, which is sensitive to metronidazole