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October 1978

Haemophilus influenzae Sepsis in the Premature Infant

Author Affiliations

Children's Mercy Hospital University of Missouri School of Medicine 24th and Gillham Rd Kansas City, MO 64108

Am J Dis Child. 1978;132(10):1039-1040. doi:10.1001/archpedi.1978.02120350107022

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

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