Fusobacteria are most often associated with the classic presentation of 
Lemierre's syndrome consisting of a sore throat, internal jugular vein 
thrombophlebitis, and septic emboli to the lungs. Unusual presentations due to 
the causative organism, F. necrophorum, may occur. We present such a case 
involving a 17-year-old male patient with pyomyositis and fasciitis due to 
necrobacillosis. Fusobacterium spp. should be considered in the differential 
diagnosis of cases involving sepsis syndrome and pyomyositis.