Fusobacterium necrophorum in a pediatric retropharyngeal abscess: A case report and review of the literature

We present a case of a 17 yearold male who developed a deep space neck infection after cervical trauma. The patient was managed conservatively with broad-spectrum antibiotics, but after failing to improve clinically required operative drainage. Wound cultures grew Fusobacterium necrophorum, an uncommon pathogen causing pediatric deep neck space infections, and even more so when not manifest as Lemierre's syndrome. This is associated with a favorable prognosis when identified early and treatment with directed antibiotics and surgical drainage as indicated is appropriate. Additionally, initial empiric antibiotic coverage when treating pediatric deep neck space infections should avoid macrolide use as Fusobacterium may be involved and is often resistant.