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At least 19 recordsLinked to original sources
PubMed1977

[Contribution to the experimental haemophilus infection (haemophilus parahemolyticus, haemophilus parasuis) in specific pathogen-free piglets. 1. microbiology, experimental arrangement, results].

Experimental infections were applied to specific pathogen free (SPF) piglets and store pigs, using five haemophilus (H.) parahaemolyticus and two H.-parasuis strains. Different germs counts and modes of application were chosen for each of the animals involved (intratracheal, intranasal, and subcutaneous routes). Clinical and pathologico-anatomic changes typical of haemorrhagic-necrotising pleuropneumonia were obtained from all germ counts and methods of application. Only one of the test animals could be successfully infected to exhibit manifestations of pneumonia or serositis when H. parasuis was used. The high pathogenicity of H. parahaemolyticus, as recorded from the above experiments, was in agreement with the growing incidence of that haemophilosis recordable for some time from pig stock.

Animals↗
PubMed1977

[Contribution to the experimental hemophilus infection (Haemophilus parahaemolyticus, Haemophilus parasuis) in SPF piglets. 2. Comparative pathology and histology].

The pathologico-anatomic and even more the histological pattern of experimental Haemophilus parahaemolyticus pleuropneumonia in specific-pathogen-free piglets was found to be characteristic in the peracute, acute, and subacute-chronic stages of the disease. It is an infection which can be morphologically differentiated from other forms of pneumonia in swine primarily by three factors, localisation of the changes, inflammation, and a typical cell response. Changes following experimental Haemophilus parasuis infection were found to occur irregularly on serous skins and, in continuation, in the lung and joints. These were not characteristic and failed to exhibit morphological peculiarities.

Acute Disease↗
PubMed1977

Pleuropneumonia in swine caused by Haemophilus parahaemolyticus. A study of the epidemiology of the infection.

Haemophilus parahaemolyticus infection was studied in a herd with continuous production, i.e., continuous introduction of stock to replace animals delivered for slaughter. None of 30 seronegative pigs contracted the infection when exposed to contact with two pigs that were seropositive after inoculation with H. Parahaemolyticus three weeks earlier. After aerosol infection had been applied in the building an acute outbreak with a morbidity rate of 100 per cent developed in less than 24 hours. Following recovery the majority of the 16 pigs present became seropositive, and when 30 seronegative pigs were introduced 7 weeks later, antibody response occurred in three of them. The persistence of H. parahaemolyticus in pigs that had been infected during the acute outbreak was confirmed at slaughter, in that the organism was re-isolated from the tonsils of 2 of these pigs. Most serum titres persisted for several months, but some animals showed just a transient antibody response.

Animals↗
PubMed1977

Fosfomycin treatment of Haemophilus influenzae infection in mice.

Haemophilus influenzae is an important pathogen in respiratory infections in children and often is implicated in otitis media. It is sensitive in vitro to a number of antibiotics, some of which are used clinically for the treatment of such infections. We have checked the in vitro sensitivity of a type b strain of H. influenzae. When tested in Levinthal's broth prepared with laked rabbit blood, the culture was most sensitive to tetracycline, ampicillin and penicillin and was somewhat less sensitive to cephalothin, fosfomycin, cephaloridine, and chloramphenicol. However, when this same strain was used to infect mice, fosfomycin was more active than ampicillin, tetracycline, chloramphenicol, penicillin or the cephalosporins.

Ampicillin↗
PubMed1978

R-factor involvement in a local outbreak of ampicillin-resistant Haemophilus influenzae infections.

In a Swedish nursery 11 of 15 children harboured non-encapsulated Haemophilus influenzae in their nasopharynx. Six children had ampicillin-resistant and beta-lactamase-producing isolates. Five of these children had otitis whereas one was healthy. In order to identify the origin of the H. influenzae isolates their O-antigen determinants were studied by an immunodiffusion technique. 18 different rabbit antisera were used. For each isolate an O-antigen pattern was recorded. Five of the 6 resistant isolates had the same O-antigen pattern, indicating that their origin was one strain. The 6th isolate was from another strain. Different isolates from the same strain were found to be either sensitive or resistant to ampicillin. In one child the H. influenzae lost its resistance during trimethoprim-sulphamethoxazole treatment. It is concluded that an R-factor may have been involved in the distribution of ampicillin resistance in the H. influenzae studied. Previous in-vitro studies have shown that beta-lactamase production can be transmitted by a plasmid among H. influenzae strains.

Adolescent↗
PubMedDate not supplied

[Severe infections by Haemophilus influenzae in children].

Severity and increasing incidence of serious infections due to Haemophilus influenzae in children have been stressed in recent publications. An analysis of the clinical records of the Department of Pediatrics, Hospital Roberto del Río (Santiago, Chile) was made in order to gather information about frequency and clinical feature of this kind of infections in our environement. 120 children under 3 years of age in whom H. influenzae was isolated in samples of one or more of the following sources: CSF, blood, bone marrow, pleural and synovial fluids, were admitted from January 1970 to March 1976. Among the different syndromes observed, bacterial meningitis (83.3%) was associated with other localizations in 27%. Empyema (12.5%) was often (46.6%) associated with meningitis. Both clinical entities were the most common and with a definite tendency to increase their frequency in last years. Cultures of CSF, blood and bone marrow were considered effective tests for diagnosis in severe infections due to H. influenzae. Although precise incidence figures may not be obtained from the present data, this kind of diseases may be considered frequent and severe (mortality: 26.6% in this study).

Acute Disease↗
PubMed1977

Circulating capsular antigen in infant rats infected with Haemophilus influenzae type b.

The kinetics of bacteremia and capsular antigenemia in infant rats infected with Haemophilus influenzae type b were measured by quantitative bacterial counts in blood and counterimmunoelectrophoresis of plasma. After intraperitoneal inoculation with 10(4) colony-forming units (cfu) of H. influenzae type b, bacteremia was detected in 100% of animals at 12 hr after inoculation (mean, 16,500 cfu/ml) and by two days exceeded 10(5) cfu/ml in most animals. Despite these high levels of bacteremia, capsular antigen was detected infrequently during the early phase of experimental infection; it was present in 20% of animals at 12 hr and in 50% at one day. Peak levels of antigen in blood occurred two to three days after inoculation and coincided with the histologic appearance of meningitis. Thereafter, the frequency of antigenemia declined and paralleled the decline in quantitative bacterial counts in blood. Since detection of antigen was dependent on the occurrence of prolonged infection, counterimmunoelectrophoresis proved to be an insensitive method for early diagnosis.

Animals↗
PubMed1979

Adult bacteremic Haemophilus parainfluenzae infections. Seven reports of cases and a review of the literature.

Seven cases of adult Haemophilus parainfluenzae infections diagnosed by positive blood cultures are compared with cases previously reported in the English literature. Three patients had pneumonia, while the others had epiglottitis with meningitis, pharyngitis, arthritis, and endocarditis, respectively. Nonendocarditic manifestations of adult H parainfluenzae infection were reported in four other cases. In addition to the diseases of our patients, H parainfluenzae also has been isolated from cerebral abscesses. Patients did well with antibiotic therapy and there were no deaths. Patients did well with antibiotic therapy and there were no deaths. Report of antibiotic sensitivity testing of 50 strains disclosed 6% of isolates resistant to ampicillin sodium, with all sensitive to chloramphenicol. If the antibiotic sensitivity of the organism is unknown, then chloramphenicol therapy should be instituted until adequate susceptibility studies have been performed. If the organism is sensitive to ampicillin, then this is the drug of choice.

Adult↗
PubMed1979

Haemophilus influenzae infections in adults: report of nine cases and a review of the literature.

Haemophilus influenzae is an aerobic pleomorphic gram-negative coccobacillus that requires both X and V factors for growth. It grows poorly, if at all, on ordinary blood agar unless streaked with Staph. aureus. It grows well on chocolate agar. Because this medium is often not used in culturing specimens from adults and because the organism may be overgrown by other bacteria, the frequency of H. influenzae infections has undoubtedly been seriously underestimated. This is aggravated by the failure of many physicians to obtain blood cultures in suspected bacterial infections and the failure of many laboratories to subculture them routinely onto chocolate agar. H. influenzae, along with Streptococcus pneumoniae, is a major factor in acute sinusitis. It is probably the most frequent etiologic agent of acute epiglottitis. It is probably a common, but commonly unrecognized, cause of bacterial pneumonia, where it has a distinctive appearance on Gram stain. It is unusual in adult meningitis, but should particularly be considered in alcoholics; in those with recent or remote head trauma, especially with cerebrospinal fluid rhinorrhea; in patients with splenectomies and those with primary or secondary hypogammaglobulinemia. It may rarely cause a wide variety of other infections in adults, including purulent pericarditis, endocarditis, septic arthritis, obstetrical and gynecologic infections, urinary and biliary tract infections, and cellulitis. Antimicrobial susceptibility testing is somewhat capricious in part from the marked effect of inoculum size in some circumstances. In vitro and in vivo results support the use of ampicillin, unless the organism produces beta-lactamase. Alternatives in minor infections include tetracycline, erythromycin, and sulfamethoxazole-trimethoprim. For serious infections chloramphenicol is the best choice if the organism is ampicillin-resistant or the patient is penicillin-allergic.

Adolescent↗
PubMed1977

Haemophilus parainfluenzae infective endocarditis.

Seven young to middle-aged patients with Haemophilus parainfluenzae endocarditis are reported. Three patients had underlying heart disease and three patients had recent events predisposing for endocarditis. The clinical presentation was subacute or acute and new pathologic murmurs were uncommon. Diagnosis was prolonged because of difficulties in isolating the organism. Routine subculturing of blood cultures to chocolate agar with incubation in CO2 is recommended. A prominent complication, occurring in six patients, was major arterial occlusion secondary to emboli. Antibiotic control of infection was difficult and best achieved by the concomitant administration of ampicillin and gentamicin. Killing curves proved useful in assessing antibiotic efficacy. There were two medical failures and one death in the series. It appears H. parainfluenzae endocarditis is characterized by distinctive clinical features, difficult in vitro isolation of the organism, and the necessity for combination antibiotic therapy.

Adult↗