Abstract:
:After successful introduction of anti-Haemophilus influenzae (Hi) serotype b vaccination program in Poland, invasive non-b or nontypeable H. influenzae infections have been reported more frequently alike in other countries all over the world. In this paper, we report 2 cases of H. influenzae serotype f (Hif) meningitis with severe clinical presentations which are rarely seen in previously healthy children.The first case is a 6-year-old girl who was admitted to pediatric ward with signs of meningitis. Laboratory tests confirmed bacteremic meningitis caused by Hif. The girl responded very well to administered treatment and recovered without any further complications. No underlying comorbidities were found. The second patient was a 4-year-old boy who, in course of Hif bacteremic meningitis, developed rapid septicemia and, despite aggressive treatment, died within a few hours of hospitalization. The child's past history was unremarkable.By presenting these cases, we would like to remind clinicians that invasive non-b Hi infections can become fatal not only in the group of the youngest children or children with coexisting comorbidities, as most commonly reported in the worldwide literature. At the same time, we want to emphasize the legitimacy of constant monitoring Hi epidemiology in order to take accurate actions if necessary.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Golebiewska A,Kuch A,Gawrońska A,Albrecht P,Skoczyńska A,Radzikowski A,Kutylowska E,Feleszko Wdoi
10.1097/MD.0000000000002671subject
Has Abstractpub_date
2016-02-01 00:00:00pages
e2671issue
5eissn
0025-7974issn
1536-5964pii
00005792-201602020-00054journal_volume
95pub_type
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