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Hemophilus influenzae Abscess Associated With Septicemia

Ralph D. Feigin, MD; Penelope G. Shackelford, MD; Ronald Keeney, MD
Am J Dis Child. 1971;121(6):534-535. doi:10.1001/archpedi.1971.02100170116021.
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A 2-month-old female infant was hospitalized because of an abscess of the midpalmar space of the left hand following six days of fever. Purulent material obtained from the abscess cavity grew a nontypable strain of Hemophilus influenzae while a blood culture obtained at time of admission grew H influenzae, type B. Incision and drainage and intravenous antibiotic therapy resulted in prompt resolution of infection. Abscesses due to H influenzae described previously have also grown untypable strains of this organism which suggest, perhaps, a unique role in abscess production for nontypable H influenzae. In contrast, this report supports the concept that H influenzae abscess may result from septicemia with type B, H influenzae and that spontaneous loss of capsule in the environment of the abscess cavity renders the strain untypable.


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