Saturday, December 20, 2014

Meningitis - H. influenzae

Table of Contents

Definition

Haemophilus influenzae meningitis is a bacterial infection of the membranes covering the brain and spinal cord (meninges).

See also:

  • Aseptic meningitis
  • Meningitis
  • Meningitis - cryptococcal
  • Meningitis - Gram-negative
  • Meningitis - meningococcal
  • Meningitis - pneumococcal
  • Meningitis - staphylococcal
  • Meningitis - tuberculous

Alternative Names

H. influenzae meningitis; H. flu meningitis


Causes, incidence, and risk factors

H. influenzae meningitis is caused by Haemophilus influenzae bacteria. These bacteria should not be confused with the disease influenza, an upper respiratory infection caused by the influenza virus.

Before the Hib vaccine became available, H. influenzae was the leading cause of bacterial meningitis in children under age 5. Since the introduction of the vaccine in the U.S., H. influenzae meningitis occurs in less than 2 in 100,000 children. It still causes 5% - 10% of bacterial meningitis cases in adults.

H. influenzae meningitis may occur after an upper respiratory infection. The infection usually spreads from the respiratory tract to the bloodstream, and then to the meninges. At the meninges, the bacteria produce infection and inflammation, causing serious illness and sometimes death.

Risk factors include:

  • Ear infection (otitis media)
  • Family member with an H. influenzae infection
  • Native American race
  • Placement in day care
  • Sinus infection (sinusitis)
  • Sore throat (pharyngitis)
  • Upper respiratory infection


Review Date: 09/15/2010
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Jatin M. Vyas, PhD, MD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)