This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor.
—We read with interest the article in the May issue of the Archives (1981;141:795-796) by de Sa Pereira and associates that reported a case of Haemophilus influenzae sepsis secondary to biliary infection in an adult. In this patient, sepsis occurred after a percutaneous liver biopsy was performed, and biliary tract obstruction secondary to carcinoma of the pancreas was found at laparotomy. The authors comment that serious H influenzae infections in adults are uncommon, especially those involving the biliary tract. During a two-year period, we have seen 12 episodes of H influenzae bacteremia in 12 adult patients, and in two cases, it was related to biliary disease.
Report of Cases.
—A 31-year-old man experienced rupture of a hydatid cyst into the bile ducts and the presence of multiple scolices in the biliary tract. The other patient was a 59-year-old man with an ampullary carcinoma. Laboratory data included the
de Bolos JMA, MOMPLET JV, Reig AMP, Perez FF. Haemophilus influenzae Sepsis. Arch Intern Med. 1982;142(4):840. doi:10.1001/archinte.1982.00340170200036