Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (1): 96-100.doi: 10.6040/j.issn.1673-3770.0.2024.035

• Original Article • Previous Articles    

Adult otitis media complicated with meningitis caused by Fusobacterium necrophorum: a case report and literature review

SONG Jin1,2, YIN Hui3, GAO Xian2, LI Yongtuan2   

  1. 1. Graduate School of Dalian Medical University, Dalian 116044, Liaoning, China2. Department of Otorhinolaryngology & Head and Neck Surgery, Qingdao Municipal Hospital, Qingdao 266071, Shandong, China 3. Department of Pharmacy, Rizhao Central Hospital, Rizhao 276800, Shandong, China
  • Published:2025-01-17

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2

Abstract: Objective To investigate the etiology, clinical manifestations, diagnosis and treatment principles of meningitis caused by otogenic Fusobacterium necrophorum infection in order to improve the understanding of this pathogen and disease. Methods The clinical data of a case of adult otitis media complicated with meningitis caused by Fusobacterium necrosis were retrospectively analyzed and the related literatures were reviewed. Results The infection of Fusobacterium necrophorum meningitis developed rapidly, and the routine culture method of Fusobacterium necrophorum infection was not easy to be clear. mNGS was a better test method, and choosing the appropriate treatment method could effectively improve the prognosis. Conclusion Fusobacterium necrophorum is a rare cause of meningitis, especially in adults. This anaerobes should be considered in the intracranial complications of rapidly progressing non-cholesteatoma otitis media, and early intervention is beneficial to avoidfurther development of the disease.

Key words: Fusobacterium necrophorum, Otitis media, meningitis, Antimicrobial agents

CLC Number: 

  • R764.23
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