Complicated Fusobacterium necrophorum mastoiditis – More than meets the eye

Abstract

Otitis media is common in children and Fusobacterium species are an emerging causative pathogen. These species have virulence factors which increase the risk of complicated otitis media. We discuss a case of F. necrophorum infection resulting in significant intracranial disease to highlight the epidemiology of these infections, risk factors for complicated disease and signs and symptoms to guide diagnosis and investigation.