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由一种不常见类型的流感嗜血杆菌引起的化脓性关节炎。

Septic arthritis caused by an unusual type of Haemophilus influenzae.

作者信息

Glatman-Freedman A, Litman N

机构信息

Department of Pediatrics, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY 10467, USA.

出版信息

J Infect. 1996 Mar;32(2):143-5. doi: 10.1016/s0163-4453(96)91405-x.

Abstract

A healthy 3.5-month-old infant developed septic arthritis with Haemophilus influenzae type f isolated from the knee aspirate and blood. The patient had no obvious risk factors and immunological evaluation revealed no abnormalities. To our knowledge, there are only two reported childhood cases of septic arthritis caused by non-type b H. influenzae, but this is the first one to be reported in a child without an underlying disorder. The importance of serotyping H. influenzae isolates in the H. influenzae type b vaccine era, and the need to look for predisposing factors in paediatric patients with invasive disease caused by non-type b H. influenzae are discussed.

摘要

一名健康的3个半月大婴儿患了化脓性关节炎,从膝关节穿刺液和血液中分离出f型流感嗜血杆菌。该患者没有明显的危险因素,免疫学评估也未发现异常。据我们所知,仅有两例儿童化脓性关节炎由非b型流感嗜血杆菌引起的报道,但这是首例在无潜在疾病的儿童中报道的病例。本文讨论了在b型流感嗜血杆菌疫苗时代对流感嗜血杆菌分离株进行血清分型的重要性,以及对由非b型流感嗜血杆菌引起的侵袭性疾病的儿科患者寻找易感因素的必要性。

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