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November 1960

Hemophilus Influenzae Meningitis in an Adult: Report of a Case

Author Affiliations

Hartford, Conn.

Arch Intern Med. 1960;106(5):653-656. doi:10.1001/archinte.1960.03820050065012

Meningitis resulting from infection by Hemophilus influenzae is primarily a disease of children, whereas in adults such an infection is a rarity. Pike1 reviewed the literature in 1955 and added one case, bringing the number of reported cases to 29. Cameron Howe2 added two cases in 1957, and Selman and Seides 3 contributed another case in 1958. Domz and Dickson,4 Wechsler and Wolf,5 and Sanford et al.6 each added a case of Hemophilus influenzae meningitis in adults with agammaglobulinemia. A review of the cases at Hartford Hospital from 1938 to 1958 yielded only one other case. This was a postoperative neurosurgical patient who underwent craniotomy. The following case is believed to be the 36th reported in the literature.

Report of Case  A 63-year-old white Polish-born woman was admitted to the Medical Service of the Hartford Hospital on March 28, 1958, at 11:30 p.m. in a semicomatose condition. Past medical history

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Howe, C.:  Hemophilus Influenzae Meningitis: Report of Two Cases in Adults ,  Ann. Int. Med. 47:141, 1957.Crossref
Selman, D., and Seides, J. M.:  Hemophilus Influenzae Meningitis in Adults ,  New York J. Med. 58:2031, 1958.
Domz, C. A., and Dickson, D. R.:  The Agammaglobulinemias: Relations and Implications ,  Am. J. Med. 23:917, 1957.Crossref
Wechsler, H. F., and Wolf, M. J.:  Agammaglobulinemia: Report of a Case ,  J.A.M.A. 161: 526, 1956.Crossref
Sanford, J. P.; Favour, C. B., and Tribeman, M. S.:  Absence of Serum Gamma Globulins in an Adult ,  New England J. Med. 250:1027, 1954.Crossref
Ribble, J. C., and Braude, A. I.:  ACTH and Adrenal Steroids in the Treatment of Pneumococcal Meningitis in Adults ,  Am. J. Med. 24:68, 1958.Crossref
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