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Imaging Quiz Case 2
Bradford W. Holland, MD;
William F. McGuirt, Jr, MD
Winston-Salem, NC
Arch Otolaryngol Head Neck Surg. 2000;126:1500-1504.
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A 15-YEAR-OLD GIRL presented to her primary care physician with complaints of sore throat, odynophagia, and fever and symptoms of upper respiratory infection. A 7-day course of clarithromycin was prescribed for tonsillitis. Over the next 2 days, the patient continued to have severe odynophagia and fever (temperatures to 39°C) and then acutely developed mental status changes with hallucinations. She was taken to a local hospital for evaluation. She had an elevated white blood cell count, but normal results on her serum chemistry profile. Blood cultures were drawn, and tests for Lyme disease and Rocky Mountain spotted fever were negative. The results of a computed tomographic scan of the head and neck at that time were reportedly normal. With aggressive fluid resuscitation and intravenous penicillin therapy, the patient defervesced and her mental status returned to normal. She was discharged 24 hours after . . . [Full Text of this Article]
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Human Infection with Fusobacterium necrophorum (Necrobacillosis), with a Focus on Lemierre's Syndrome
Riordan
Clin. Microbiol. Rev. 2007;20:622-659.
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