Haemophilus influenzae has been reported infrequently as a cause of serious illness in the neonatal period.1-4 We have identified six infants with neonatal H influenzae sepsis since 1975, all of whom demonstrated a fulminant clinical course similar to early-onset group B streptococcal sepsis. Review of bacteriology records from the previous ten years disclosed
only one additional case of neonatal H influenzae sepsis. The present report is a review of these cases with the purpose of identifying factors present shortly after birth that may provide for early diagnosis and treatment.
Report of a Case.—This 1,288-g, 29 weeks' gestation boy was born Nov 23, 1975, to a 27-year-old, gravida 3, para 2 mother. Membranes ruptured seven hours prior to delivery. Late decelerations were noted on the monitor prior to delivery; Apgar scores were recorded as 1 and 6 at one and five minutes, respectively. The infant was transferred to Children's