Fusobacterium pyomyositis of the shoulder after tonsillitis: Report of a case of lemierre's syndrome

Abstract

A case of nontropical pyomyositis is reported in a young male without predisposing factors. the disease was preceded by a tonsillitis, and the presentation initially suggested a septic arthritis of the shoulder. Fusobacterium, a highly unusual pathogen in pyomyositis, was isolated from an abscess in the infraspinatus muscle. the increasing frequency of the disease in areas with a temperate climate and the pathogenesis are discussed. Our case had the classic features of Lemierre's syndrome: invasion of the bloodstream by Fusobacterium species from a tonsillitis. © 1991 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.