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Ruiz Del Pino M, Rosales-Castillo A, Navarro-Marí JM, Gutiérrez-Fernández J. Clinical significance of isolation of Haemophilus no ducreyi in genital samples. Systematic review. ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA (ENGLISH ED.) 2023; 41:468-484. [PMID: 36443187 DOI: 10.1016/j.eimce.2022.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Revised: 02/16/2022] [Accepted: 02/24/2022] [Indexed: 06/16/2023]
Abstract
INTRODUCTION AND OBJECTIVES Currently, the microbiological diagnosis of genital infections is carried out with molecular methods, which allow the detection of less frequent etiological agents but with potential pathogenic importance, such as Haemophilus spp. The objective of this review is to analyse and highlight the clinical importance of the isolation of Haemophilus spp. in genital and rectal infections, excluding Haemophilus ducreyi. MATERIAL AND METHODS A systematic review was carried out based on an exhaustive search of the publications included in the MEDLINE database up to August 5, 2021, on the presence of Haemophilus spp. in genital and rectal infections, excluding H. ducreyi. RESULTS After reviewing what was described in the literature, Haemophilus spp. (excluding H. ducreyi: HSNOD) was detected in 2397 episodes of genital infection, the most frequently isolated species being H. influenzae and H. parainfluenzae. Most of the episodes (87,6%) are constituted by single isolation. There is a slight predominance in women (48,3%) where it can cause vaginitis, salpingitis, endometritis or complications during pregnancy. In men, the clinical picture usually corresponds to urethritis. Most of the samples correspond to vaginal and urethral exudates, with a minority representation at the rectal level (2.3%). CONCLUSION HSNOD plays a relevant pathogenic role in episodes of genital infection, so microbiological diagnostic protocols must include methods that allow their detection, as well as include them in the etiological spectrum of this type of clinical picture.
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Affiliation(s)
- Marta Ruiz Del Pino
- Departamento de Microbiología, Facultad de Medicina, Universidad de Granada-ibs, Granada, Spain
| | - Antonio Rosales-Castillo
- Servicio de Medicina Interna, Hospital Universitario Virgen de las Nieves-ibs, Granada, Spain; Programa de Doctorado en Medicina Clínica y Salud Pública, Universidad de Granada, Granada, Spain.
| | - José María Navarro-Marí
- Departamento de Microbiología, Hospital Universitario Virgen de las Nieves-ibs, Granada, Spain; Programa de Doctorado en Medicina Clínica y Salud Pública, Universidad de Granada, Granada, Spain
| | - José Gutiérrez-Fernández
- Departamento de Microbiología, Facultad de Medicina, Universidad de Granada-ibs, Granada, Spain; Programa de Doctorado en Medicina Clínica y Salud Pública, Universidad de Granada, Granada, Spain
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2
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Mathiasen ASF, Bigum LH, Andreassen KH, Slotved HC, Berring DCA, Antsupova V. Haemophilus influenzae septicaemia and urinary tract infection associated with nefrocalcinosis: case report. Diagn Microbiol Infect Dis 2023; 107:116001. [PMID: 37331176 DOI: 10.1016/j.diagmicrobio.2023.116001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Accepted: 06/02/2023] [Indexed: 06/20/2023]
Abstract
Haemophilus influenzae is an uncommon uropathogen with fastidious growth requirements, which must be taken into consideration in the diagnostic process. We present a rare case of urosepsis with H. influenzae in a young patient with nefrocalcinosis.
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Affiliation(s)
| | - Lene Hyldgaard Bigum
- Department of Urology, Copenhagen University Hospital, Herlev and Gentofte, Denmark
| | | | - Hans-Christian Slotved
- Department of Bacteria, Parasites and Fungi, Statens Serum Institut, Copenhagen, Denmark
| | | | - Valeria Antsupova
- Department of Clinical Microbiology, Copenhagen University Hospital, Herlev and Gentofte, Denmark
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3
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Villanueva DDH, Staton JP, Gupte AA. A Report of Haemophilus influenzae Bacteremia With Acute Pelvic Inflammatory Disease. Cureus 2022; 14:e28970. [PMID: 36237777 PMCID: PMC9548244 DOI: 10.7759/cureus.28970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/08/2022] [Indexed: 11/30/2022] Open
Abstract
Sexually-transmitted organisms that frequently originate from the flora of the lower genital tract are often implicated in pelvic inflammatory disease (PID). Haemophilus influenzae, a pathogen found primarily in the upper respiratory tract, has been rarely associated with PID. Here we report a case of a young woman with PID whose blood cultures grew H. influenzae biotype II, a reminder that the endometrium can be the source of systemic H. influenzae infection when no typical primary focus is found.
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4
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Ruiz del Pino M, Rosales-Castillo A, Navarro-Marí JM, Gutiérrez-Fernández J. Importancia clínica del aislamiento de Haemophilus spp. (excluyendo H. ducreyi) en muestras genitales. Revisión sistemática. Enferm Infecc Microbiol Clin 2022. [DOI: 10.1016/j.eimc.2022.02.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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5
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Carrera-Salinas A, González-Díaz A, Calatayud L, Mercado-Maza J, Puig C, Berbel D, Càmara J, Tubau F, Grau I, Domínguez MÁ, Ardanuy C, Martí S. Epidemiology and population structure of Haemophilus influenzae causing invasive disease. Microb Genom 2021; 7. [PMID: 34898424 PMCID: PMC8767337 DOI: 10.1099/mgen.0.000723] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
This study provides an update on invasive Haemophilus influenzae disease in Bellvitge University Hospital (2014–2019), reporting its evolution from a previous period (2008–2013) and analysing the non-typeable H. influenzae (NTHi) population structure using a clade-related classification. Clinical data, antimicrobial susceptibility and serotyping were studied and compared with those of the previous period. Population structure was assessed by multilocus sequence typing (MLST), SNP-based phylogenetic analysis and clade-related classification. The incidence of invasive H. influenzae disease remained constant between the two periods (average 2.07 cases per 100 000 population), while the 30 day mortality rate decreased (20.7–14.7 %, respectively). Immunosuppressive therapy (40 %) and malignancy (36 %) were the most frequent comorbidities. Ampicillin and fluoroquinolone resistance rates had increased between the two periods (10–17.6 % and 0–4.4 %, respectively). NTHi was the main cause of invasive disease in both periods (84.3 and 85.3 %), followed by serotype f (12.9 and 8.8 %). NTHi displayed high genetic diversity. However, two clusters of 13 (n=20) and 5 sequence types (STs) (n=10) associated with clade V included NTHi strains of the most prevalent STs (ST3 and ST103), many of which showed increased frequency over time. Moreover, ST103 and ST160 from clade V were associated with β-lactam resistance. Invasive H. influenzae disease is uncommon, but can be severe, especially in the elderly with comorbidities. NTHi remains the main cause of invasive disease, with ST103 and ST160 (clade V) responsible for increasing β-lactam resistance over time.
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Affiliation(s)
- Anna Carrera-Salinas
- Microbiology Department, Bellvitge University Hospital, IDIBELL-UB, Barcelona, Spain
| | - Aida González-Díaz
- Microbiology Department, Bellvitge University Hospital, IDIBELL-UB, Barcelona, Spain.,Research Network for Respiratory Diseases (CIBERES), ISCIII, Madrid, Spain
| | - Laura Calatayud
- Microbiology Department, Bellvitge University Hospital, IDIBELL-UB, Barcelona, Spain.,Research Network for Respiratory Diseases (CIBERES), ISCIII, Madrid, Spain
| | - Julieta Mercado-Maza
- Microbiology Department, Bellvitge University Hospital, IDIBELL-UB, Barcelona, Spain
| | - Carmen Puig
- Microbiology Department, Bellvitge University Hospital, IDIBELL-UB, Barcelona, Spain
| | - Dàmaris Berbel
- Microbiology Department, Bellvitge University Hospital, IDIBELL-UB, Barcelona, Spain.,Research Network for Respiratory Diseases (CIBERES), ISCIII, Madrid, Spain
| | - Jordi Càmara
- Microbiology Department, Bellvitge University Hospital, IDIBELL-UB, Barcelona, Spain.,Research Network for Respiratory Diseases (CIBERES), ISCIII, Madrid, Spain
| | - Fe Tubau
- Microbiology Department, Bellvitge University Hospital, IDIBELL-UB, Barcelona, Spain.,Research Network for Respiratory Diseases (CIBERES), ISCIII, Madrid, Spain
| | - Imma Grau
- Research Network for Respiratory Diseases (CIBERES), ISCIII, Madrid, Spain.,Infectious Diseases Department, Bellvitge University Hospital, IDIBELL-UB, Barcelona, Spain
| | - M Ángeles Domínguez
- Microbiology Department, Bellvitge University Hospital, IDIBELL-UB, Barcelona, Spain.,Spanish Network for Research in Infectious Diseases (REIPI), ISCIII, Madrid, Spain.,Department of Pathology and Experimental Therapeutics, School of Medicine, University of Barcelona, Barcelona, Spain
| | - Carmen Ardanuy
- Microbiology Department, Bellvitge University Hospital, IDIBELL-UB, Barcelona, Spain.,Research Network for Respiratory Diseases (CIBERES), ISCIII, Madrid, Spain.,Department of Pathology and Experimental Therapeutics, School of Medicine, University of Barcelona, Barcelona, Spain
| | - Sara Martí
- Microbiology Department, Bellvitge University Hospital, IDIBELL-UB, Barcelona, Spain.,Research Network for Respiratory Diseases (CIBERES), ISCIII, Madrid, Spain.,Department of Medicine, School of Medicine, University of Barcelona, Barcelona, Spain
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6
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Zhou M, Fu P, Fang C, Shang S, Hua C, Jing C, Xu H, Chen Y, Deng J, Zhang H, Zhang T, Wang S, Lin A, Huang W, Cao Q, Wang C, Yu H, Cao S, Deng H, Gao W, Hao J. Antimicrobial resistance of Haemophilus influenzae isolates from pediatric hospitals in Mainland China: Report from the ISPED program, 2017-2019. Indian J Med Microbiol 2021; 39:434-438. [PMID: 34556347 DOI: 10.1016/j.ijmmb.2021.09.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Revised: 07/10/2021] [Accepted: 09/03/2021] [Indexed: 10/20/2022]
Abstract
PURPOSE This study set out to determine the antimicrobial resistance trends of Haemophilus influenzae isolates from pediatric hospitals in Mainland China, which would provide basis for clinical treatment. METHODS The Infectious Disease Surveillance of Pediatrics (ISPED) collaboration group conducted this study. H. influenzae strains isolated from nine pediatric hospitals in Mainland China were included. Disk diffusion method was used for antimicrobial susceptibility test. Cefinase disc was used for detection of β-lactamase. RESULTS In total, 13810 H. influenzae isolates were included during 2017-2019: 93.17% of which were from respiratory tract specimens, 4.63% from vaginal swabs, 1.10% from secretion, and 1.10% from others. Of all strains, 63.32% isolates produced β-lactamase; 8.22% isolates were β-lactamase-negative and ampicillin-resistant (BLNAR). The resistance to sulfamethoxazole-trimethoprim was 70.98%, followed by resistance to ampicillin (69.37%), cefuroxime (51.35%), ampicillin-sulbactam (38.82%), azithromycin (38.21%), amoxicillin-clavulanate (35.28%). More than 90% of H. influenzae isolates were susceptible to ceftriaxone, cefotaxime, meropenem, levofloxacin and chloramphenicol. The resistance rate of ampicillin and azithromycin in H. influenzae showed an increasing trend through the years. Statistically significant differences in antibiotic-resistance rates of all the antibiotics except chloramphenicol were found in different regions. The major Multi-Drug Resistance pattern was resistant to β-lactams, macrolides, and sulfonamides. CONCLUSIONS There is a rising trend of resistance rate of ampicillin and azithromycin in H. influenzae. Antimicrobial resistance of H. influenzae deserves our ongoing attention. Third-generation cephalosporin could be the preferred treatment option of infections caused by ampicillin-resistant H. influenzae.
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Affiliation(s)
- Mingming Zhou
- Department of Clinical Laboratory, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, PR China
| | - Pan Fu
- Department of Clinical Laboratory, Children's Hospital of Fudan University, Shanghai, 201102, PR China
| | - Chao Fang
- Department of Clinical Laboratory, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, PR China
| | - Shiqiang Shang
- Department of Clinical Laboratory, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, PR China.
| | - Chunzhen Hua
- Department of Infectious Disease, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310003, PR China.
| | - Chunmei Jing
- Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, Chongqing, 400014, PR China
| | - Hongmei Xu
- Department of Infectious Diseases, Children's Hospital of Chongqing Medical University, Chongqing, 400014, PR China
| | - Yunsheng Chen
- Department of Clinical Laboratory, Shenzhen Children's Hospital, Shenzhen, 518038, PR China
| | - Jikui Deng
- Department of Infectious Diseases, Shenzhen Children's Hospital, Shenzhen, 518038, PR China
| | - Hong Zhang
- Department of Clinical Laboratory, Children's Hospital of Shanghai Jiaotong University, Shanghai, 200040, PR China
| | - Ting Zhang
- Department of Infectious Diseases, Children's Hospital of Shanghai Jiaotong University, Shanghai, 200040, PR China
| | - Shifu Wang
- Department of Clinical Laboratory, Qilu Children's Hospital of Shandong University, Jinan, 250022, PR China
| | - Aiwei Lin
- Department of Infectious Diseases, Qilu Children's Hospital of Shandong University, Jinan, 250022, PR China
| | - Weichun Huang
- Department of Clinical Laboratory, Shanghai Children's Medical Center, Shanghai, 200127, PR China
| | - Qing Cao
- Department of Infectious Diseases, Shanghai Children's Medical Center, Shanghai, 200127, PR China
| | - Chuanqing Wang
- Department of Clinical Laboratory, Children's Hospital of Fudan University, Shanghai, 201102, PR China
| | - Hui Yu
- Department of Infectious Diseases, Children's Hospital of Fudan University, Shanghai, 201102, PR China
| | - Sancheng Cao
- Department of Clinical Laboratory, Xi'an Children's Hospital, Xi'an, 710043, PR China
| | - Huiling Deng
- Department of Infectious Diseases, Xi'an Children's Hospital, Xi'an, 710043, PR China
| | - Wei Gao
- Department of Clinical Laboratory, Kaifeng Children's Hospital, Kaifeng, 475099, PR China
| | - Jianhua Hao
- Department of Infectious Diseases, Kaifeng Children's Hospital, Kaifeng, 475099, PR China
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7
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Nishimura Y, Hagiya H, Kawano K, Yokota Y, Oka K, Iio K, Hasegawa K, Obika M, Haruma T, Ono S, Masuyama H, Otsuka F. Invasive non-typeable Haemophilus influenzae infection due to endometritis associated with adenomyosis. BMC Infect Dis 2020; 20:521. [PMID: 32678023 PMCID: PMC7367316 DOI: 10.1186/s12879-020-05193-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 06/22/2020] [Indexed: 11/29/2022] Open
Abstract
Background The widespread administration of the Haemophilus influenzae type b vaccine has led to the predominance of non-typable H. influenzae (NTHi). However, the occurrence of invasive NTHi infection based on gynecologic diseases is still rare. Case presentation A 51-year-old Japanese woman with a history of adenomyoma presented with fever. Blood cultures and a vaginal discharge culture were positive with NTHi. With the high uptake in the uterus with 67Ga scintigraphy, she was diagnosed with invasive NTHi infection. In addition to antibiotic administrations, a total hysterectomy was performed. The pathological analysis found microabscess formations in adenomyosis. Conclusions Although NTHi bacteremia consequent to a microabscess in adenomyosis is rare, this case emphasizes the need to consider the uterus as a potential source of infection in patients with underlying gynecological diseases, including an invasive NTHi infection with no known primary focus.
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Affiliation(s)
- Yoshito Nishimura
- Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.
| | - Hideharu Hagiya
- Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan
| | - Kaoru Kawano
- Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan
| | - Yuya Yokota
- Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan
| | - Kosuke Oka
- Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan
| | - Koji Iio
- Microbiology Division, Clinical Laboratory, Okayama University Hospital, Okayama, Japan
| | - Kou Hasegawa
- Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan
| | - Mikako Obika
- Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan
| | - Tomoko Haruma
- Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Sawako Ono
- Department of Pathology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Hisashi Masuyama
- Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Fumio Otsuka
- Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan
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8
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Belarj B, Dahraoui S, Rar L, Atmani N, Frikh M, Ben Lahlou Y, Maleb A, Lemnouer A, Ait Houssa M, Boulahya A, Elouennass M. Exceptional association of two species of bacteria causing mediastinitis: Haemophilus influenzae (H. influenzae) and Aggregatibacter aphrophilus (A. aphrophilus). BMC Infect Dis 2018; 18:407. [PMID: 30115033 PMCID: PMC6097304 DOI: 10.1186/s12879-018-3269-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2017] [Accepted: 07/24/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Post cardiac surgery mediastinitis is the major infectious complication, despite the development of surgical techniques and the application of strict preventive measures. The Haemophilus influenzae mediastinitis is very rare. The mediastinitis caused by the association between Haemophilus influenzae and Aggregatibacter aphrophilus has never been described to our knowledge. CASE PRESENTATION We report the case of an exceptional combination of Haemophilus influenzae and Aggregatibacter aphrophilus in a patient operated for single bypass which is complicated by mediastinitis the 10th day after the surgical act. CONCLUSION The conclusion to be drawn from this work is to think in unusual seeds in case of mediastinitis post cardiac surgery for the elaboration of recommendations for antibiotic prophylaxis.
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Affiliation(s)
- Badia Belarj
- Hôpital Militaire d'instruction Mohammed V / Université Mohamed V Rabat, Faculté de médecine et de pharmacie de Rabat / Equipe de recherche ERB/Laboratoire de Bactériologie, Rabat, Morocco.
| | - Souhail Dahraoui
- Hôpital Militaire d'instruction Mohammed V / Université Mohamed V Rabat, Faculté de médecine et de pharmacie de Rabat / Equipe de recherche ERB/Laboratoire de Bactériologie, Rabat, Morocco
| | - Leila Rar
- Hôpital Militaire d'instruction Mohammed V / Université Mohamed V Rabat, Faculté de médecine et de pharmacie de Rabat / Equipe de recherche ERB/Laboratoire de Bactériologie, Rabat, Morocco
| | - Noureddine Atmani
- Hôpital Militaire d'instruction Mohammed V / Université Mohamed V Rabat, Faculté de médecine et de pharmacie de Rabat / Service de chirurgie cardiovasculaire, Rabat, Morocco
| | - Mohammed Frikh
- Hôpital Militaire d'instruction Mohammed V / Université Mohamed V Rabat, Faculté de médecine et de pharmacie de Rabat / Equipe de recherche ERB/Laboratoire de Bactériologie, Rabat, Morocco
| | - Yassine Ben Lahlou
- Hôpital Militaire d'instruction Mohammed V / Université Mohamed V Rabat, Faculté de médecine et de pharmacie de Rabat / Equipe de recherche ERB/Laboratoire de Bactériologie, Rabat, Morocco
| | - Adil Maleb
- Centre Hospitalo-Universitaire Mohammed VI Oujda, Université Mohammed Premier Oujda, Faculté de médecine et de pharmacie Oujda / Laboratoire de Bactériologie, Oujda, Morocco
| | - Abdelhay Lemnouer
- Hôpital Militaire d'instruction Mohammed V / Université Mohamed V Rabat, Faculté de médecine et de pharmacie de Rabat / Equipe de recherche ERB/Laboratoire de Bactériologie, Rabat, Morocco
| | - Mahdi Ait Houssa
- Hôpital Militaire d'instruction Mohammed V / Université Mohamed V Rabat, Faculté de médecine et de pharmacie de Rabat / Service de chirurgie cardiovasculaire, Rabat, Morocco
| | - Abdelatif Boulahya
- Hôpital Militaire d'instruction Mohammed V / Université Mohamed V Rabat, Faculté de médecine et de pharmacie de Rabat / Service de chirurgie cardiovasculaire, Rabat, Morocco
| | - Mostafa Elouennass
- Hôpital Militaire d'instruction Mohammed V / Université Mohamed V Rabat, Faculté de médecine et de pharmacie de Rabat / Equipe de recherche ERB/Laboratoire de Bactériologie, Rabat, Morocco
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9
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Stærk M, Tolouee SA, Christensen JJ. Nontypable Haemophilus influenzae Septicemia and Urinary Tract Infection Associated with Renal Stone Disease. Open Microbiol J 2018; 12:243-247. [PMID: 30197697 PMCID: PMC6110053 DOI: 10.2174/1874285801812010243] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2018] [Revised: 07/10/2018] [Accepted: 07/15/2018] [Indexed: 11/22/2022] Open
Abstract
Introduction: Haemophilus influenzae commonly causes upper respiratory tract infections and has only rarely been reported etiology of urinary tract infections. Since the introduction of the Haemophilus influenzae b (Hib) vaccine, non-typable haemophilus species now cause the majority of invasive disease in Europe. Case Report: We report a case of an adult man with non-typable Haemophilus influenzae septicemia, urinary tract infection and bilateral renal stone disease. The patient presented with right sided flank pain and a CT scan showed bilateral renal stones and a right sided ureteral stone causing obstruction. Results and Discussion: Haemophilus influenzae was identified in blood and urine and despite a tendency of increasing antibiotic resistance among Haemophilus influenzae, our strain was susceptible to all antibiotics tested. Treatment consisted of 3 days of intravenous cefuroxime, insertion of a right sided JJ ureteric stent and 5 days of peroral ciprofloxacin after discharge. Physicians and microbiologists should be aware of Haemophilus influenzae as a possible urinary tract pathogen, especially when urinary tract abnormalities are present, and take the risk of antibiotic resistance into consideration at initial treatment.
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Affiliation(s)
- Marianne Stærk
- Department of Clinical Microbiology, Slagelse Hospital, Slagelse, Denmark
| | - Sara A Tolouee
- Department of Urology, Zealand University Hospital Roskilde, Roskilde, Denmark
| | - Jens J Christensen
- Department of Clinical Microbiology, Slagelse Hospital, Slagelse, Denmark.,Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
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10
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Howard-Anderson J, Satola SW, Collins MH. Breech at the Border: An Atypical Case of Invasive Haemophilus influenzae in a Patient on a Novel Immunotherapeutic. Open Forum Infect Dis 2018; 5:ofy146. [PMID: 30581886 PMCID: PMC6299461 DOI: 10.1093/ofid/ofy146] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Accepted: 06/25/2018] [Indexed: 12/16/2022] Open
Abstract
Haemophilus influenzae rarely causes pyogenic infections in the female genital tract, and even less commonly does this lead to systemic infections. Novel monoclonal antibody therapies targeting interleukin-17 may impair mucosal immunity, but increased risk for H. influenzae infections has not been documented. Here, we describe a case of H. influenzae bacteremia associated with pyosalpinx and hypothesize that immunomodulatory treatment for psoriasis predisposed our patient to this infection.
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Affiliation(s)
- Jessica Howard-Anderson
- Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
| | - Sarah W Satola
- Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.,Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia
| | - Matthew H Collins
- Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
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11
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Porter M, Charles AK, Nathan EA, French NP, Dickinson JE, Darragh H, Keil AD. Haemophilus influenzae: a potent perinatal pathogen disproportionately isolated from Indigenous women and their neonates. Aust N Z J Obstet Gynaecol 2015; 56:75-81. [DOI: 10.1111/ajo.12413] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2015] [Accepted: 09/06/2015] [Indexed: 12/26/2022]
Affiliation(s)
- Michelle Porter
- PathWest Laboratory Medicine; Microbiology Department; Princess Margaret Hospital; Perth Western Australia Australia
| | - Adrian K. Charles
- Department of Pathology; Sidra Medical and Research Centre; Doha Qatar
| | | | - Noel P. French
- Neonatal Clinical Care Unit; King Edward Memorial Hospital; Perth Western Australia Australia
| | - Jan E. Dickinson
- Women and Infants Research Foundation; Perth Western Australia Australia
- School of Women's and Infants' Health; The University of Western Australia; Perth Western Australia Australia
| | - Helen Darragh
- PathWest Laboratory Medicine; Microbiology Department; Princess Margaret Hospital; Perth Western Australia Australia
| | - Anthony D. Keil
- PathWest Laboratory Medicine; Microbiology Department; Princess Margaret Hospital; Perth Western Australia Australia
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Mendz GL, Kaakoush NO, Quinlivan JA. Bacterial aetiological agents of intra-amniotic infections and preterm birth in pregnant women. Front Cell Infect Microbiol 2013; 3:58. [PMID: 24137568 PMCID: PMC3797391 DOI: 10.3389/fcimb.2013.00058] [Citation(s) in RCA: 87] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2013] [Accepted: 09/16/2013] [Indexed: 02/03/2023] Open
Abstract
Infection-related preterm birth is a leading cause of infant mortality and morbidity; knowledge of bacterial populations invading the amniotic cavity and the routes of invasion is required to make progress in the prevention of preterm birth. Significant advances have been made in understanding bacterial communities in the vagina, but much less studied are intra-uterine bacterial populations during pregnancy. A systematic review of data published on the intra-uterine microbiome was performed; molecular information and summaries of species found in healthy individuals and in women with diagnosed infections served to construct a database and to analyse results to date. Thirteen studies fulfilled the review's inclusion criteria. The data of various investigations were collated, organized, and re-analyzed to achieve a more comprehensive understanding of microbial populations in the intra-amniotic space. The most common intra-amniotic bacterial taxa were species that can colonies the vagina in health and disease; there were others associated with the habitats of the mouth, gastrointestinal tract, and respiratory tract. The results suggest a central role for the ascending route of infections during pregnancy, and point to a possible secondary contribution via haematogenous invasion of the intra-amniotic space. The complete census of the intra-uterine microbiome awaits completion.
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Affiliation(s)
- George L. Mendz
- School of Medicine, Sydney, The University of Notre Dame AustraliaDarlinghurst, NSW, Australia
| | - Nadeem O. Kaakoush
- School of Biotechnology and Biomolecular Sciences, The University of New South WalesKensington, NSW, Australia
| | - Julie A. Quinlivan
- School of Medicine, Fremantle, The University of Notre Dame AustraliaFremantle, WA, Australia
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