Lin Wei-Jen, Lai Yuan-Sheng, Lo Wen-Tsung, Hung Chih-Hsing, Cheng Shin-Nan, Wang Chih-Chien
Department of Pediatrics, Tri-Service General Hospital, Taipei, Taiwan.
Acta Paediatr Taiwan. 2004 Mar-Apr;45(2):100-3.
Cellulitis resulting from infection by Haemophilus influenzae type b (Hib) is uncommon but may be a characteristic of such infection. Especially in the post-Hib vaccine era, such infection represents a potentially life-threatening infectious process due to the relatively high incidence of accompanying bacteremia and meningitis. Here, we report on two apparently previously healthy children who developed Hib cellulitis, one of whom revealed lower-leg cellulitis while the other exhibited buccal cellulitis associated with an oral ulcer. To the best of our knowledge, there have been no formal reports pertaining to buccal cellulitis following infection by Hib yet published in Taiwan, and reports of Hib cellulitis of the extremities still appear to be rare, hence we report on these two cases.
由 b 型流感嗜血杆菌(Hib)感染引起的蜂窝织炎并不常见,但可能是此类感染的一个特征。特别是在 Hib 疫苗接种后的时代,由于伴随菌血症和脑膜炎的发病率相对较高,这种感染代表了一种潜在的危及生命的感染过程。在此,我们报告两名此前看似健康的儿童发生了 Hib 蜂窝织炎,其中一名表现为小腿蜂窝织炎,另一名表现为与口腔溃疡相关的颊部蜂窝织炎。据我们所知,台湾地区尚未发表关于 Hib 感染后颊部蜂窝织炎的正式报告,而且四肢 Hib 蜂窝织炎的报告似乎仍然很少,因此我们报告这两例病例。