1/246. haemophilus influenzae has a GM1 ganglioside-like structure and elicits guillain-barre syndrome.The authors report a patient with an axonal guillain-barre syndrome (acute motor axonal neuropathy) associated with anti-GM1 antibody after haemophilus influenzae infection. The result of ELISA inhibition studies and cytochemical staining with cholera toxin suggest the presence of a GM1-like structure on the surface of H. influenzae isolated from the patient. A particular strain of H. influenzae may have a GM1-like structure and may elicit an axonal guillain-barre syndrome.- - - - - - - - - - ranking = 1keywords = infection (Clic here for more details about this article) |
2/246. haemophilus influenzae associated scleritis.AIMS: To describe the clinical course and treatment of haemophilus influenzae associated scleritis. methods: Retrospective case series. RESULTS: Three patients developed scleritis associated with ocular H influenzae infection. Past medical history, review of systems, and laboratory testing for underlying collagen vascular disorders were negative in two patients. One patient had arthritis associated with an antinuclear antibody titre of 1:160 and a Westergren erythrocyte sedimentation rate of 83 mm in the first hour. Each patient had ocular surgery more than 6 months before developing scleritis. Two had cataract extraction and one had strabismus surgery. Nodular abscesses associated with areas of scleral necrosis were present in each case. culture of these abscesses revealed H influenzae in all patients. Treatments included topical, subconjunctival, and systemic antibiotics. Scleral inflammation resolved and visual acuity improved in each case. CONCLUSION: H influenzae infection may be associated with scleritis. Accurate diagnosis and treatment may preserve ocular integrity and good visual acuity.- - - - - - - - - - ranking = 2keywords = infection (Clic here for more details about this article) |
3/246. biliary tract infection caused by haemophilus parainfluenzae.haemophilus parainfluenzae was isolated from the bile specimens of 2 patients with acute cholecystitis. The strains were genetically unrelated by the random amplified polymorphic dna (RAPD). The 2 H. parainfluenzae strains represented 11.7% of all positive bile cultures inoculated in blood culture bottles. The routine inoculation of bile specimens in media able to support growth of Haemophilus species should be considered.- - - - - - - - - - ranking = 4keywords = infection (Clic here for more details about this article) |
4/246. Tissue expander infections in children: look beyond the expander pocket.infection of the expander pocket is the most common complication encountered with soft-tissue expansion. It is usually due to direct inoculation with skin flora either at the time of expander insertion or from extrusion of the device. The authors report two cases of infection of tissue expanders in which the children had concomitant infected sites distant from the prosthesis. Etiological bacteria of common pediatric infections like otitis media and pharyngitis were cultured from the infected expander pocket, raising suspicion that translocation of the organism to the expander had occurred. Aggressive antibiotic treatment, removal of the prosthesis, and flap advancement is advocated.- - - - - - - - - - ranking = 6keywords = infection (Clic here for more details about this article) |
5/246. haemophilus parainfluenzae sepsis in a very low birth weight premature infant: a case report and review of the literature.haemophilus parainfluenzae is an unusual cause of invasive bacterial disease and is particularly uncommon as a reported etiology of neonatal sepsis in current large published series. We describe a seriously ill, very low birth weight (VLBW) infant with documented early onset sepsis caused by H. parainfluenzae. We compare our case with those published previously and contrast the clinical presentation of infection in our patient to that of common bacterial pathogens causing neonatal sepsis. Our review suggests many common factors in the pathogenesis of early onset infection by H. parainfluenzae.- - - - - - - - - - ranking = 2keywords = infection (Clic here for more details about this article) |
6/246. otitis media caused by non-typable, ampicillin-resistant strains of haemophilus influenzae.Strains of haemophilus influenzae, which did not belong to any of the known capsular serotypes and which were resistant in vitro to ampicillin, have been isolated from middle ear exudates of two children with otitis media. These children failed to improve with ampicillin therapy, and the resistant organisms persisted at the site of infection. patients infected with such ampicillin-resistant organisms require therapy with antimicrobial agents which are not susceptible to degradation by penicillinase.- - - - - - - - - - ranking = 1keywords = infection (Clic here for more details about this article) |
7/246. A case of haemophilus parainfluenzae pneumonia.A 41 year old woman presented with community acquired pneumonia (CAP) which failed to resolve following treatment with amoxycillin and cefaclor prior to referral. Quantitative culture of sputum revealed a pure growth of haemophilus parainfluenzae and, following antibiotic susceptibility testing of the isolate, ciprofloxacin was prescribed resulting in resolution of the infection. Immunological investigations showed that the patient had a high titre of H parainfluenzae specific IgM. The combination of a pure growth of H parainfluenzae, a response to appropriate antimicrobial therapy, and the presence of a specific antibody response indicated that this organism had a pathogenic role in the patient's pneumonia and should be considered in the differential diagnosis of CAP.- - - - - - - - - - ranking = 1keywords = infection (Clic here for more details about this article) |
8/246. haemophilus influenzae cellulitis after bite injuries in children.The authors recently saw 2 children with haemophilus influenzae cellulitis after bite injuries. In one the infection of a finger became evident 2 days after a guinea pig bite. In the second, cellulitis of the cheek developed a week after a bite wound from a child. Although H influenzae cellulitis as a result of bacteremia arising from the upper respiratory tract is rather frequent, infection after a bite injury is a very unusual event.- - - - - - - - - - ranking = 2keywords = infection (Clic here for more details about this article) |
9/246. It could only happen to a doctor--Haemophilus aphrophilus septicaemia complicated by a prevertebral infection after dental work.A 53 year old man presented with severe neck pain and a flu-like illness; he had recently returned from sri lanka and had had dental treatment six days before illness onset. blood culture showed infection by Haemophilus aphrophilus. magnetic resonance imaging was performed and exploratory surgery undertaken. The prevertebral cervical fascia was inflamed but no abscess identified. He was treated with antibiotics and made an uneventful recovery.- - - - - - - - - - ranking = 5keywords = infection (Clic here for more details about this article) |
10/246. Vertebral infections caused by Haemophilus aphrophilus: case report and review.OBJECTIVE: To review in detail clinical presentation, bacteriologic findings, associated conditions and treatment of Haemophilus aphrophilus vertebral osteomyelitis and to compare them to a case we report herein. methods: A medline (National Library of medicine) search of the literature was performed by using the key words H. aphrophilus, spondylodiscitis, discitis, and vertebral osteomyelitis. The references of the case reports were examined for additional cases, especially those cited in older articles that had not been entered onto the bibliographic database. RESULTS: A case report of spondylodiscitis due to H. aphrophilus in a 35-year-old patient with a history of dental abscess 7 months before admission is presented. The patient responded well to treatment with ceftriaxone and ciprofloxacin. To date, only 14 cases of H. aphrophilus vertebral osteomyelitis have been reported. They are usually reported in middle-aged patients, usually male. Most recent cases have been treated with fluoroquinolones. Duration of treatment usually ranges from 1 to 3 months. CONCLUSIONS: H. aphrophilus is an uncommon cause of vertebral osteomyelitis. patients are regularly cured by antibiotic therapy, provided that a tissue biopsy is performed in order to isolate the causative bacterium.- - - - - - - - - - ranking = 4keywords = infection (Clic here for more details about this article) |
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