J Pediatr Infect Dis 2019; 14(03): 133-135
DOI: 10.1055/s-0037-1606341
Case Report
Georg Thieme Verlag KG Stuttgart · New York

A Fulminant Case of Haemophilus influenzae Serotype F Meningitis in an Immunocompetent 3-Year-Old Boy

Luise Wolf
1  Department of Women and Child Health, Hospital for Children and Adolescents, University Hospital Leipzig, Leipzig, Germany
,
Norman Lippmann
2  Institute for Medical Microbiology and Epidemiology of Infectious Diseases, Leipzig University Hospital, Leipzig, Germany
,
Stefanie Petzold-Quinque
1  Department of Women and Child Health, Hospital for Children and Adolescents, University Hospital Leipzig, Leipzig, Germany
,
Manuela Siekmeyer
1  Department of Women and Child Health, Hospital for Children and Adolescents, University Hospital Leipzig, Leipzig, Germany
,
Wieland Kieß
3  Department of Women and Child Health, Hospital for Children and Adolescents, Center for Pediatric Research, University Hospital Leipzig, Leipzig, Germany
› Author Affiliations
Further Information

Publication History

20 March 2017

25 July 2017

Publication Date:
13 September 2017 (eFirst)

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Abstract

Of all encapsulated Haemophilus influenzae (Hi), serotype b (Hib) is considered as the potentially most virulent one for children. After vaccination was introduced in the 1990s, the incidence of this serotype has dropped dramatically. Other encapsulated forms such as Hi serotype a, c, d, e, f (Hia-Hif) are diagnosed rarely and mostly affect vulnerable patient groups. As serotyping is not performed routinely, the number of unreported cases is estimated to be even higher. Whereas several cases of Hif disease in children with favorable outcome were published, a 3-year-old boy diagnosed with this serotype died at our hospital despite initial antimicrobial therapy.

Keywords

Haemophilus influenzae serotype f - bacterial meningitis - child - fatal outcome