Drapkin M S, Wilson M E, Shrager S M, Rubin R H
Am J Med. 1977 Sep;63(3):449-52. doi: 10.1016/0002-9343(77)90284-4.
Described herein are three patients over the age of 50 years who had cellulitis of the neck and the upper portion of the chest, associated with Hemophilus influenzae type B bacteremia and respiratory tract infection--particularly that of the upper airway. Only one of the patients with cellulitis had the classic bluish-purple hue commonly seen in children affected with this syndrome. In the other two, the H. influenzae type B cellulitis could not be distinguished clinically from the more common group A streptococcal or staphylococcal cellulitis. Since the antibiotics employed in treating patients with infection due to the latter two organisms differ significantly from those used to treat patients with H. influenzae type B infection, the possibility of disease due to H. influenzae type B must be considered in any adult or child in whom cellulitis of the neck, chest and possibly face is associated with a respiratory tract infection, especially of the upper airway.
本文描述了3名年龄超过50岁的患者，他们患有颈部和胸部上部的蜂窝织炎，伴有B型流感嗜血杆菌菌血症和呼吸道感染——尤其是上呼吸道感染。蜂窝织炎患者中只有1人具有该综合征患儿常见的典型蓝紫色。在另外两名患者中，临床上无法将B型流感嗜血杆菌蜂窝织炎与更常见的A组链球菌或葡萄球菌蜂窝织炎区分开来。由于用于治疗后两种病原体感染患者的抗生素与用于治疗B型流感嗜血杆菌感染患者的抗生素有显著差异，因此对于任何颈部、胸部甚至面部蜂窝织炎伴有呼吸道感染（尤其是上呼吸道感染）的成人或儿童，都必须考虑B型流感嗜血杆菌致病的可能性。
