Transient Haemophilus influenzae type b bacteremia in a healthy child. 2005

Kentaro Matsuda, and Yasutaka Sakata, and Hidekazu Tani, and Kouichi Kimura, and Toyojiro Matsuishi
Department of Pediatrics and Child Health, Kurume University School of Medicine, Kurume 830-0011, Japan. kentaromatsuda@hotmail.com

Occult bacteremia with Streptococcus pneumoniae (S. pneumoniae) is sometimes experienced in general clinics, while that with Haemophilus influenzae type b (Hib) is less common and mostly develops to serious central nervous infection. Recently we encountered a patient with bacteremia due to Hib, in whom bacteremia recovered spontaneously without intravenous antibiotic therapy. A previously healthy 17-month-old girl was brought to our hospital with the complaint of high fever. Although her clinical condition did not present any of meningeal signs, the laboratory data on the first day showed prominent leukocytosis and sepsis work-up was done. Two days later (third day of illness), blood culture grew Haemophilus influenzae sensitive to ampicillin and the strain isolated from blood was identified as Hib. The febrile condition soon disappeared and bacteremia resolved with the negative result of the next blood culture. It is not clear about the precise mechanisms of this phenomenon, however, it is an extremely rare case for Hib bacteremia to resolve spontaneously.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D005260 Female Females
D006192 Haemophilus Infections Infections with bacteria of the genus HAEMOPHILUS. Hemophilus Infections,Haemophilus influenzae Infection,Haemophilus influenzae Type b Infection,Hib Infection,Infections, Haemophilus,Infections, Hemophilus,Haemophilus Infection,Haemophilus influenzae Infections,Hemophilus Infection,Hib Infections,Infection, Haemophilus,Infection, Haemophilus influenzae,Infection, Hemophilus,Infection, Hib
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016470 Bacteremia The presence of viable bacteria circulating in the blood. Fever, chills, tachycardia, and tachypnea are common acute manifestations of bacteremia. The majority of cases are seen in already hospitalized patients, most of whom have underlying diseases or procedures which render their bloodstreams susceptible to invasion. Bacteremias
D019741 Haemophilus influenzae type b A type of H. influenzae isolated most frequently from biotype I. Prior to vaccine availability, it was a leading cause of childhood meningitis. Hemophilus influenzae type b,Hib

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