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Anaerobe ; 61: 102099, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31513845

ABSTRACT

Fusobacterium nucleatum is a common oral commensal bacterium capable of severe invasive infections. We report a case of a diffuse bilateral pneumopathy with F. nucleatum-positive blood culture successfully treated by common antibiotics in a patient receiving eculizumab for a drug-induced thrombotic microangiopathy (TMA). It is the first described case of a severe F. nucleatum-associated infection in a patient undergoing terminal complement inhibitor therapy. We suggest providing preventive dental care before eculizumab initiation.


Subject(s)
Antibodies, Monoclonal, Humanized/adverse effects , Bacteremia/etiology , Fusobacterium Infections/diagnosis , Fusobacterium Infections/etiology , Fusobacterium nucleatum , Pneumonia, Bacterial/diagnosis , Pneumonia, Bacterial/etiology , Aged , Antibodies, Monoclonal, Humanized/therapeutic use , Anus Neoplasms/complications , Anus Neoplasms/drug therapy , Complement Inactivating Agents/adverse effects , Complement Inactivating Agents/therapeutic use , Female , Fusobacterium Infections/drug therapy , Fusobacterium nucleatum/genetics , Humans , Pneumonia, Bacterial/drug therapy , Tomography, X-Ray Computed , Ultrasonography, Doppler
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