Vega-Briceño Luis E, Perret Cecilia, Holmgren Nils, Sánchez Ignacio
Programa de Enfermedades Respiratorias del Niño, Departamento de Pediatría, Pontificia Universidad Católica de Chile, Santiago.
Rev Chilena Infectol. 2005 Mar;22(1):89-92. doi: 10.4067/s0716-10182005000100011. Epub 2005 Mar 4.
Haemophilus influenzae b (Hib) disease used to be a frequent cause of pneumonia in children. After the widespread use of Hib conjugate vaccines, non-b H. influenzae have become an important cause of pneumonia. We present the case of an infant with severe pneumonia with empyema and bacteremia after he had completed the Hib vaccination schedule. Non typable H. influenzae was recovered from blood and pleural effusion cultures. We review the literature about this unusual clinical presentation in our community and alert about the possible emergence of non typable H. influenzae as a frequent cause of community-acquired pneumonia in children.
b型流感嗜血杆菌(Hib)疾病曾是儿童肺炎的常见病因。在广泛使用Hib结合疫苗后,非b型流感嗜血杆菌已成为肺炎的重要病因。我们报告一例婴儿病例,该婴儿在完成Hib疫苗接种程序后发生了伴有脓胸和菌血症的重症肺炎。从血液和胸腔积液培养物中分离出了不可分型流感嗜血杆菌。我们回顾了本社区关于这种不寻常临床表现的文献,并提醒注意不可分型流感嗜血杆菌可能成为儿童社区获得性肺炎的常见病因。