1/76. 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 = 1keywords = tract (Clic here for more details about this article) |
2/76. 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 = 599.31268413984keywords = tract infection, tract (Clic here for more details about this article) |
3/76. Acute epiglottitis despite vaccination with haemophilus influenzae type b vaccine.We present the case of a 20-month-old child who required admission to the intensive care with a presumptive diagnosis of acute laryngo-tracheo-bronchitis, for the management of acute upper airway obstruction. This child had received a complete course of haemophilus influenzae type b (Hib) vaccine. Subsequent events showed that the diagnosis was not laryngo-tracheo-bronchitis but acute epiglottitis. We propose that a full course of vaccination is no guarantee against a subsequent illness with Hib and may actually lead to the wrong diagnosis and possibly life-threatening consequences.- - - - - - - - - - ranking = 0.038332134577675keywords = upper (Clic here for more details about this article) |
4/76. 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 = 160.39073135592keywords = respiratory tract, upper respiratory tract, tract, upper (Clic here for more details about this article) |
5/76. haemophilus parainfluenzae complicating total hip arthroplasty: a rapid failure.We present a case of rapid failure of a total hip arthroplasty caused by infection with haemophilus parainfluenzae. The septic loosening occurred over a period of 3 months and followed a dental extraction that had not been covered by prophylactic antibiotics. This failure occurred in a previously well-functioning and asymptomatic prosthetic joint.- - - - - - - - - - ranking = 1keywords = tract (Clic here for more details about this article) |
6/76. haemophilus parainfluenzae and fusobacterium necrophorum liver abscess: a case report.liver abscess is a potentially life-threatening disease. The clinical features of pyogenic liver abscess are variable and probably correlate with a variety of pathogenic microorganisms and underlying diseases that may be involved. The most common pathogen of liver abscess in taiwan is klebsiella pneumoniae. diabetes mellitus and hepatobiliary calculus are major diseases associated with liver abscess. haemophilus parainfluenzae is a commensal of the upper respiratory tract, but is an uncommon isolate in liver abscess. We describe a 44-year-old man with liver abscess caused by mixed H. parainfluenzae and fusobacterium necrophorum infection. He received percutaneous liver abscess drainage and intravenous antibiotic therapy for 3 weeks and fully recovered. No recurrence occurred during the follow-up period of 4 months.- - - - - - - - - - ranking = 160.39073135592keywords = respiratory tract, upper respiratory tract, tract, upper (Clic here for more details about this article) |
7/76. Haemophilus influenzae acute pyelonephritis in the elderly.Haemophilus influenzae has rarely been implicated as the causative agent of urinary tract infections in adults. We report a case of H. influenzae pyelonephritis in a 78-year old man with benign prostatic hyperplasia and discuss the possible underestimation of the true incidence of H. influenzae in adult urinary tract infections.- - - - - - - - - - ranking = 299.65634206992keywords = tract infection, tract (Clic here for more details about this article) |
8/76. Plastic bronchitis mimicking foreign body aspiration that needs a specific diagnostic procedure.OBJECTIVE: To report two children admitted to our emergency department with respiratory failure, one for status asthmaticus with pneumomediastinum and requiring mechanical ventilation and the other for high suspicion of foreign body aspiration. INTERVENTIONS: bronchoscopy revealed obstructive plugs and permitted their extraction and their identification as bronchial casts after the immersion in normal saline. Allergy was suspected in the first one, and Hemophilus influenzae infection was present in the second. The outcome was favorable. CONCLUSIONS: Plastic bronchitis is an infrequent cause of acute life-threatening respiratory failure that can mimic foreign body aspiration or status asthmaticus. Bronchoscopic extraction must be performed urgently in the case of severe obstruction. This entity is probably underestimated as the casts with their specific ramifications are difficult to recognize. We recommend the immersion in normal saline of all plugs discovered in children with predisposing diseases mainly represented by infections, allergy, acute chest syndrome, and congenital cardiopathies.- - - - - - - - - - ranking = 2keywords = tract (Clic here for more details about this article) |
9/76. Haemophilus influenzae septic abortion.BACKGROUND: Haemophilus influenzae septic abortion is typically caused by nontypeable strains of the organism. Furthermore, nontypeable species with a special affinity for the genital tract are the most frequent isolates encountered, and an ascending vaginal or cervical infection is often the suspected route of transmission. CASE: A 39-year-old woman at 8 weeks gestation who underwent dilation, evacuation, and curettage for embryonic demise had clinical evidence for sepsis and isolation of a nontypeable, ampicillin resistant H. influenzae from blood cultures. Although an ascending vaginal infection was suspected, the route of transmission was not determined. CONCLUSION: Nontypeable strains of. H. influenzae have demonstrated increased beta-lactamase activity, and ampicillin, formerly the treatment of choice, should be used only if isolate susceptibility is known.- - - - - - - - - - ranking = 1keywords = tract (Clic here for more details about this article) |
10/76. Horizontal transfer of the gene encoding outer membrane protein P2 of nontypeable Haemophilus influenzae, in a patient with chronic obstructive pulmonary disease.An adult with chronic obstructive pulmonary disease was monitored prospectively for 2 years. Nontypeable Haemophilus influenzae was isolated from sputum cultures at 22 of 23 monthly clinic visits. Analysis of the isolates, by pulsed-field gel electrophoresis (PFGE), revealed that the patient was colonized by 3 different strains during the 2-year period. The gene encoding outer-membrane protein (OMP) P2, ompP2, was amplified from sputum samples and selected strains obtained from this patient. Analysis of the ompP2 sequences, in combination with the PFGE patterns, indicated that ompP2 horizontal transfer between 2 strains occurred in the respiratory tract, between clinic visits 13 and 14. observation of ompP2 horizontal transfer in the human respiratory tract has important implications for both the understanding of ompP2 diversity among strains and the future design of OMP P2-based vaccines.- - - - - - - - - - ranking = 164.89401392522keywords = respiratory tract, tract (Clic here for more details about this article) |
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