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The Journal of the Japanese Society for Clinical Microbiology

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[Vol.26 No.1 contents]
Japanese / English

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Article in Japanese

ArticleTitle A case of non-typable Haemophilus influenzae presenting as pediatric bacterial sinusitis
Language J
AuthorList Yoshiki Kusama1), Nagatoshi Sagara1), Keisuke Uno2), Mariko Watanabe3), Yoichi Takemasa1), Toshiki Tsunogai1), Jun Kubota1), Kosuke Yamada1), Naoe Akiyama1), Takahiro Goto3), Osamu Watanabe3), Yoshihiro Saito4)
Affiliation 1) Department of Pediatrics, Fuji City General Hospital
2) Department of Otorhinolaryngology, Fuji City General Hospital
3) Department of Clinical Laboratory, Fuji City General Hospital
4) Department of Pediatrics, The Jikei University Katsushika Medical Center
Publication J.J.C.M.: 26 (1), 41-46, 2015
Received July 17, 2015
Accepted August 6, 2015
Abstract In this case report, we describe a patient presenting with pediatric bacterial sinusitis that was later diagnosed as infection with non-typable Haemophilus influenzae (NTHi). The patient was a 10-year-old, previously healthy female. Her chief complaints were headache, cheek pain, and photophobia that started two days prior to visiting us. A blood test and computed tomography scan indicated bacterial sinusitis and she was admitted to our hospital for antibiotic treatment. However, in spite of the treatment, her symptoms worsened and endoscopic sinus surgery was performed on the second day of hospitalization. After surgery, her symptoms improved and she was discharged on the thirteenth day of hospitalization. H. influenzae was detected by a blood culture and identified as NTHi (no capsules were detected). Recently, invasive infections caused by NTHi have been increasing worldwide. However, NTHi infections are not well recognized in Japan and accurate surveillance is not routinely conducted. Therefore, accurate nationwide surveillance and access to convenient identification tests are necessary to describe the NTHi infection trends in Japan.
Keywords non typeable Haemophilus influenzae
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