Adult-onset Invasive <i>Haemophilus influenzae</i> Type f Caused by Acute Lower Leg Cellulitis

  • Usui Yuko
    Department of Internal Medicine, Suwa Central Hospital, Japan Department of Thoracic Oncology, National Cancer Center Hospital East, Japan
  • Kakuta Risako
    Department of Otorhinolaryngology-Head and Neck Surgery, Tohoku University Graduate School of Medicine, Japan
  • Araki Makoto
    Department of Internal Medicine, Suwa Central Hospital, Japan
  • Sato Taigo
    Department of Internal Medicine, Suwa Central Hospital, Japan
  • Gu Yoshiaki
    Department of Infectious Diseases, Tohoku University Hospital, Japan
  • Yano Hisakazu
    Department of Microbiology and Infectious Diseases, Nara Medical University, Japan
  • Taniuchi Norihide
    Department of Internal Medicine, Suwa Central Hospital, Japan

抄録

In Japan, routine Haemophilus influenzae type b (Hib) vaccination began in 2013. Thus, similar to other countries, a strain shift is expected in the near future. We experienced a case of H. influenzae type f (Hif) bacteremia in a 66-year-old man. The primary focus of the infection was the soft tissue of the left lower leg, which is an extremely rare origin in adults. Subsequently, we conducted multilocus sequence typing and identified the strain as sequence type 124, which is the most common invasive strain of Hif worldwide. This case may mark the beginning of an Hif strain shift in Japan.

収録刊行物

  • Internal Medicine

    Internal Medicine 55 (13), 1811-1813, 2016

    一般社団法人 日本内科学会

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