Haemophilus meningitis

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Etiology and epidemiology[edit | edit source]

  • by Hemofilus influenzae type b;
  • affects children from 3 months to 5 years;
  • in the pre-disease stage, there is usually an upper respiratory tract infection, fever, anorexia, vomiting.

Clinical findings[edit | edit source]

  • after uncharacteristic symptoms, fever increases;
  • in infants, the fontanela is arched; in older children meningeal signs.

Diagnosis[edit | edit source]

  • typical findings in punction;
  • latex agglutination can prove H. influenzae.

Complications and consequences[edit | edit source]

  • with fast and correct treatment, the finding recedes rapidly;
  • if we figure it out late in infants, obstructive hydrocephalus may occur;
  • the result can be psychomotor retardation and cranial nerve disorder, deafness (usually unilateral).

Therapy[edit | edit source]

  • previously successful treatment with ampicillin is often ineffective due to higher β-lactamase production;
  • treatment is initiated i.v. application of dexamethasone, immediately afterwards we apply cephalosporins III. generation (doses are the same as for meningococcal meningitis, for 5-10 days);
  • chloramphenicol is also effective, but we rarely use it for side effects.

Prevention[edit | edit source]

  • in countries where vaccination against HEB has been around for a longer time, this disease has been almost eradicated;
  • in the Czech republic it is part of the mandatory vaccinations sice July of 2001, few dozen cases are reported every year.

Prognosis[edit | edit source]

  • lethality is below 5%, the risk is higher in the event of a hydrocephalus

Links[edit | edit source]

Similar articles[edit | edit source]

References[edit | edit source]

Source[edit | edit source]

Literature[edit | edit source]

  • HRODEK, Otto a Jan VAVŘINEC, et al. Pediatrie. 1. vydání. Praha : Galén, 2002. ISBN 80-7262-178-5.
  • ŠAŠINKA, Miroslav, Tibor ŠAGÁT a László KOVÁCS, et al. Pediatria. 2. vydání. Bratislava : Herba, 2007. ISBN 978-80-89171-49-1.