Bachman D S
Pediatrics. 1975 Apr;55(4):526-30.
Eleven cases of Hemophilus meningitis seen in the last year are reported. Three were H. parainfluenzae and eight were H. influenzae. The number of patients is small but probably indicates that there is little difference in the clinical or laboratory data in meningitis caused by these two organisms. The children with H. parainfluenzae tended to be less anemic and had more normal admission spinal fluid sugars and proteins, but this was probably because these patients were older and had shorter prodromes. As more cases of H. parainfluenzae meningitis are noted, it seems likely that there will not be any difference in the clinical or laboratory data. Two of the three cases of H. parainfluenzae meningitis had the complication of ataxia secondary to severe bilateral vestibular deficits. Finally, it should be noted that these two organisms will not be distinguished by routine bacteriological studies, and that differentiation must be carried out by an experimental laboratory.
本文报告了去年所见的11例嗜血杆菌性脑膜炎病例。其中3例为副流感嗜血杆菌，8例为流感嗜血杆菌。病例数量较少，但可能表明这两种病原体所致脑膜炎的临床或实验室数据差异不大。副流感嗜血杆菌感染的儿童贫血程度往往较轻，入院时脑脊液糖和蛋白质水平更正常，但这可能是因为这些患者年龄较大且前驱期较短。随着更多副流感嗜血杆菌性脑膜炎病例被发现，临床或实验室数据似乎不太可能存在差异。3例副流感嗜血杆菌性脑膜炎病例中有2例出现严重双侧前庭功能缺损继发共济失调的并发症。最后需要注意的是，常规细菌学研究无法区分这两种病原体，必须由专业实验室进行鉴别。
