• Internal medicine · Dec 2020

    Case Reports

    Haemophilus influenzae Non-Type B Infection in an Adult Patient with Systemic Lupus Erythematosus.

    • Yasuhiro Hasegawa, Yoshiyuki Arinuma, Sumiaki Tanaka, Toshihiro Tono, Tomoki Tanaka, Takumi Muramatsu, Junichi Kondo, Yu Matsueda, Takayuki Hoshiyama, Tatsuhiko Wada, Yoko Takayama, and Kunihiro Yamaoka.
    • Department of Rheumatology and Infectious Diseases, Kitasato University School of Medicine, Japan.
    • Intern. Med. 2020 Dec 1; 59 (23): 309731013097-3101.

    AbstractA 40-year-old man with systemic lupus erythematosus taking consecutive oral corticosteroids developed a high-grade fever and disorder of consciousness following acute rhinitis. Haemophilus influenzae type f (Hif) was found and isolated from the blood and cerebrospinal fluid by culture, leading to a diagnosis of meningitis. The prevalence of H. influenzae type b (Hib) infections has decreased due to routine immunization. As a result, the prevalence of invasive non-Hib, including Hif infection, is increasing as a common H. influenzae infection in children and adults. Physicians should be aware of non-Hib H. influenzae infection, even though the Hib vaccine is widely used in Japan.

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