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August 1977

Cervical Lymphadenitis Caused by Haemophilus influenzae Type B

Author Affiliations

Department of Pediatrics, C 227 University of Colorado Medical Center 4200 E Ninth Ave Denver, CO 80262

Am J Dis Child. 1977;131(8):925-926. doi:10.1001/archpedi.1977.02120210103023

We report a case of cervical lymphadenitis caused by Haemophilus influenzae type b, an organism with a steadily increasing prevalence in childhood infections.

Report of a Case.—A 4-year-old boy was admitted to Colorado General Hospital on Sept 24,1976. He had been seen on Sept 20, 1976 because of complaints of pharyngitis and mild right-sided cervical adenitis. He was prescribed a penicillin pending a throat culture; the medication was discontinued after three doses when the culture proved negative for group A β-hemolytic streptococcus. In the meantime, all his symptoms had abated.

On Sept 23,1976, the right-sided swelling reappeared and spread to the left side. He was seen again and hospitalized. Physical examination showed him to be a distressed, obviously ill child. His rectal temperature was 38.7 C. He had three by five centimeter nonindurated, erythematous nodes in both anterior cervical regions. There were no other important physical findings. The WBC

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