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July 1975

Neonatal Haemophilus influenzae Infection

Author Affiliations

Department of Bacteriology Birmingham Children's Hospital Birmingham B16 8ET, England
Department of Bacteriology Birmingham Maternity Hospital Birmingham B15 2TG, England

Am J Dis Child. 1975;129(7):867. doi:10.1001/archpedi.1975.02120440083023

Sir.—We were interested in the article by Drs. Khuri-Bulos and McIntosh, which appeared in the January edition of the Journal (129:57, 1975), reporting a series of infections due to Haemophilus influenzae in neonates. We wish to report a similar case that occurred in October 1974.

Report of a Case.—A boy weighing 3.12 kg (6.9 lb) was delivered with difficulty by forceps because of arrested labor 100 minutes after rupture of the fetal membranes. He was noted to have a facial palsy on the left and bruising of the face, and he did not move his left arm at birth. These signs disappeared during the first ten days of life.

Scabs were noted on the forehead on the sixth day, and a fluctuant swelling on the left side of the neck on the eighth day. Blood cultures taken at this time were negative and the infant was apyrexial (temperature,

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