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Bacteremic hemophilus influenzae type B cellulitis in the adult

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      Abstract

      Described herein are three patients over the age of 50 years who had cellulitis of the neck and the upper portion of the chest, associated with Hemophilus influenzae type B bacteremia and respiratory tract infection—particularly that of the upper airway. Only one of the patients with cellulitis had the classic bluish-purple hue commonly seen in children affected with this syndrome. In the other two, the H. influenzae type B cellulitis could not be distinguished clinically from the more common group A streptococcal or staphylococcal cellulitis. Since the antibiotics employed in treating patients with infection due to the latter two organisms differ significantly from those used to treat patients with H. influenzae type B infection, the possibility of disease due to H. influenzae type B must be considered in any adult or child in whom cellulitis of the neck, chest and possibly face is associated with a respiratory tract infection, especially of the upper airway.
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      References

        • Alexander HE
        Influenza bacillus infections.
        in: Holt LE McIntosh R Pediatrics. Appleton-Century-Crofts, New York1953: 1200
        • Green M
        • Fousek MD
        Hemophilus influenzae type b cellulitis.
        Pediatrics. 1957; 19: 80
        • Thilenius OG
        • Carter RE
        Cellulitis of the leg due to type b Hemophilus influenzae.
        J Pediatr. 1959; 54: 372
        • Feingold M
        • Gellis SS
        Cellulitis due to Hemophilus influenzae type b.
        N Engl J Med. 1965; 272: 788
        • Turk DC
        • May JR
        Haemophilus influenzae: Its Clinical Importance.
        English Universities Press, London1967
        • Rapkin RH
        • Bautista G
        Hemophilus influenzae cellulitis.
        Am J Dis Child. 1972; 124: 540
        • Rasmussen JE
        Haemophilus influenzae cellulitis.
        Br J Dermatol. 1973; 88: 547
        • Weinberg AN
        • Swartz MN
        Gram-negative coccal and bacillary infection.
        in: Fitzpatrick TB Arndt KA Clark Jr, WH Eisen AZ Van Scott EJ Vaughan JH Dermatology in General Medicine. McGraw-Hill Book Co, New York1971: 1721
        • Goetz JP
        • Tafari N
        • Boxerbaum B
        Needle aspiration in Hemophilus influenzae type b cellulitis.
        Pediatrics. 1974; 54: 504
        • Todd JK
        • Bruhn FW
        Severe Haemophilus influenzae infections spectrum of disease.
        Am J Dis Child. 1975; 129: 607
        • Quintiliani R
        • Hymans PH
        The association of bacteremic Haemophilus influenzae pneumonia in adults with typable strains.
        Am J Med. 1971; 50: 781
        • Eykyn SJ
        • Thomas RD
        • Phillips I
        Haemophilus influenzae meningitis in adults.
        Br Med J. 1974; 2: 463
        • Crossley K
        • Bigos T
        • Joffe CD
        Hemophilus influenzae pericarditis: a report of two cases in adults with a summary of the literature.
        Am Heart J. 1973; 85: 246
        • Rubin RH
        • RC Jr, Moellering
        Clinical, microbiologic and therapeutic aspects of purulent pericarditis.
        Am J Med. 1975; 59: 68
        • Raff MJ
        • Dannaher CL
        Hemophilus influenzae septic arthritis in adults.
        J Bone Joint Surg. 1974; 56A: 408
        • Krauss DS
        • Aronson MD
        • Gump DW
        • et al.
        Hemophilus influenzae septic arthritis.
        Arthritis Rheum. 1974; 17: 267
        • Branefors-Helander P
        • Jeppsson P-H
        Acute epiglottitis.
        Scand J Infect Dis. 1975; 7: 103
        • Johnstone JM
        • Lawy HS
        Acute epiglottitis in adults due to infection with Haemophilus influenzae type b.
        Lancet. 1967; 2: 134
        • Brewer DW
        • Rambo JHT
        Influenzal laryngitis.
        Ann Otol Rhinol Laryngol. 1948; 57: 96
        • Kringas N
        • Fiddes PJ
        • Chia W
        A case of acute epiglottitis in an adult due to Hemophilus influenzae: type b.
        Med J Aust. 1968; 2: 20
        • Hawkins DB
        • Miller AH
        • Sachs GB
        • et al.
        Acute epiglottitis in adults.
        Laryngoscope. 1973; 83: 1211
        • Fothergill LD
        • Wright J
        Influenzal meningitis the relationship of age incidence to the bactericidal power of the blood against the causal organism.
        J Immunol. 1933; 24: 273
        • Norden CW
        • Callerame ML
        • Baum J
        Haemophilus influenzae meningitis in an adult: a study of bactericidal antibodies and immunoglobulins.
        N Engl J Med. 1970; 282: 190
        • Feigin RD
        • Richmond D
        • Hosler MW
        • et al.
        Reassessment of the role of bactericidal antibody in Hemophilus influenzae infection.
        Am J Med Sci. 1971; 262: 338
        • Gump DW
        • Tarr P
        • Phillips CA
        • et al.
        Bactericidal antibodies to Hemophilus influenzae.
        in: 4th ed. Proc Soc Exp Biol Med. 138. 1971: 76
        • Robbins JB
        • JC Jr, Parke
        • Schneerson R
        • et al.
        Quantitative measurement of ‘natural’ and immunization-induced Hemophilus influenzae type b capsular polysaccharide antibodies.
        Pediatr Res. 1973; 7: 103
        • Whisnant JK
        • Rogentine GN
        • Gralnick MA
        • et al.
        Host factors and antibody response in Haemophilus influenzae type b meningitis and epiglottitis.
        J Infect Dis. 1976; 133: 448
        • Thornsberry C
        • Kirven LA
        Antimicrobial susceptibility of Haemophilus influenzae.
        Antimicrob Agents Chemother. 1974; 6: 620
        • Williams JD
        • Andrews J
        Sensitivity of Haemophilus influenzae to antibiotics.
        Br Med J. 1974; 1: 134
        • Gordon RC
        • Thompson TR
        • Stevens LI
        • et al.
        In vitro susceptibility of Haemophilus influenzae to eight antibiotics.
        Antimicrob Agents Chemother. 1974; 6: 114
        • McLinn SE
        • Nelson JD
        • Haltalin KC
        Antimicrobial susceptibility of Hemophilus influenzae.
        Pediatrics. 1970; 45: 827
        • Smith AL
        Antibiotics and invasive Haemophilus influenzae.
        N Engl J Med. 1976; 294: 1329