Ko F Y, Sheu C L, Hsieh K S
Department of Pediatrics, Veterans General Hospital, Kaohsiung, Taiwan, R.O.C.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1992 Sep-Oct;33(5):383-7.
Cellulitis of extremities due to Haemophilus influenzae is rare in children. Only 60 cases of Haemophilus influenzae cellulitis of the extremities have been reported. It usually affects young children between the ages of six and 24 months. The lesion often presents with a red-to-bluish-purple discoloration overlying the involved area. High fever and leukocytosis are commonly found. Culture of needle aspirate and blood with appropriate media is necessary for diagnosis. Early diagnosis is especially important because of associated bacteremia and the subsequent possibility of life-threatening complications such as meningitis. We reported a 8-month-old female infant with Haemophilus influenzae type b cellulitis over the right hand. She was admitted due to high fever and painful swelling of the right hand. Edematous right hand with dusky erythematous skin over the dorsum and swelling of the palm with limitation of range of motion were noted on admission. Smear of needle aspirate revealed gram negative bacilli and beta-lactamase(-) Haemophilus influenzae type b was cultivated in the blood culture. She was successfully treated with ampicillin and discharged with stable condition.
由流感嗜血杆菌引起的儿童四肢蜂窝织炎较为罕见。仅报告过60例四肢流感嗜血杆菌蜂窝织炎病例。它通常影响6至24个月大的幼儿。病变部位常表现为受累区域上方的红至蓝紫色变色。常见高热和白细胞增多。用适当培养基对针吸物和血液进行培养对诊断很有必要。由于存在相关菌血症以及随后发生危及生命并发症（如脑膜炎）的可能性，早期诊断尤为重要。我们报告了一名8个月大的女婴，右手患有b型流感嗜血杆菌蜂窝织炎。她因高热和右手疼痛肿胀入院。入院时发现右手水肿，背部皮肤呈暗红斑，手掌肿胀，活动范围受限。针吸物涂片显示革兰氏阴性杆菌，血培养培养出β-内酰胺酶（-）b型流感嗜血杆菌。她用氨苄西林成功治疗，出院时病情稳定。
