Haemophilus influenzae type b meningitis with subdural effusion: A case report
Journal
Journal of Microbiology, Immunology and Infection
Journal Volume
35
Journal Issue
1
Pages
61-64
Date Issued
2002
Author(s)
Abstract
Haemophilus influenzae type b causes invasive infection in children under 2 years of age. The disease may be complicated with hearing impairment, lowered learning ability, and other neurologic sequelae. The incidence of invasive H. influenzae type b has declined dramatically after the introduction of routine administration of protein-conjugated H. influenzae type b vaccine in the United States and some other countries. Because of its low incidence in Taiwan, many clinicians are not familiar with the initial symptoms and management of H. influenzae type b. This case report describes a 7-month-old H. influenzae type b meningitis patient who had initial presentations of prolonged intermittent fever and vague neurologic signs. Left peripheral facial palsy with hearing loss in left ear and bilateral frontal subdural effusion developed during the first 5 days of cefotaxime therapy. Betamethasone was then given for 4 days to relieve the severe inflammation. Drug-induced fever was observed after 11 days of antibiotic use and subsided with prednisolone treatment. Left ear hearing impairment persisted during the follow-up period, but the children did not experience other significant development delay.
SDGs
Other Subjects
amoxicillin; antibiotic agent; betamethasone; cefalexin; cefotaxime; cefradine; clavulanic acid; Haemophilus influenzae vaccine; prednisolone; article; bacterial meningitis; case report; corticosteroid therapy; facial nerve paralysis; Haemophilus influenzae type b; hearing loss; human; infant; male; subdural effusion; Taiwan; Humans; Infant; Male; Meningitis, Haemophilus; Subdural Effusion
Type
journal article