Fatal, fulminant and invasive non-typeable Haemophilus influenzae infection in a preterm infant : a re-emerging cause of neonatal sepsis

Early-onset neonatal sepsis (EOS) is a major cause of neonatal death and long-term neurodevelopmental disabilities among survivors. The common pathogens causing EOS are group B streptococcus (GBS) and Escherichia coli. Haemophilus influenzae (H. influenzae) is a Gram-negative coccobacillus that can...

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Main Authors: Chowdhury, Sudipta Roy, Bharadwaj, Srabani, Chandran, Suresh
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Journal Article
Language:English
Published: 2020
Subjects:
Online Access:https://hdl.handle.net/10356/145352
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author Chowdhury, Sudipta Roy
Bharadwaj, Srabani
Chandran, Suresh
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Chowdhury, Sudipta Roy
Bharadwaj, Srabani
Chandran, Suresh
author_sort Chowdhury, Sudipta Roy
collection NTU
description Early-onset neonatal sepsis (EOS) is a major cause of neonatal death and long-term neurodevelopmental disabilities among survivors. The common pathogens causing EOS are group B streptococcus (GBS) and Escherichia coli. Haemophilus influenzae (H. influenzae) is a Gram-negative coccobacillus that can cause severe invasive disease and can be divided into either typeable or non-typeable strains. H. influenzae serotype b (Hib) is the most virulent and the major cause of bacterial meningitis in young children prior to routine immunization against Hib. Hib infection rates have dramatically reduced since then. However, a number of studies have reported an increasing incidence of non-typeable H. influenzae (NTHi) sepsis in neonates worldwide and concluded that pregnant women may have an increased risk to invasive NTHi disease with poor pregnancy outcomes. We present a case of fulminant neonatal sepsis caused by NTHi in an extremely preterm infant and discuss potential preventative measures to reduce its re-emergence.
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spelling ntu-10356/1453522023-03-05T16:49:05Z Fatal, fulminant and invasive non-typeable Haemophilus influenzae infection in a preterm infant : a re-emerging cause of neonatal sepsis Chowdhury, Sudipta Roy Bharadwaj, Srabani Chandran, Suresh Lee Kong Chian School of Medicine (LKCMedicine) Science::Medicine Non-typeable Haemophilus Influenza Early-onset Neonatal Sepsis Early-onset neonatal sepsis (EOS) is a major cause of neonatal death and long-term neurodevelopmental disabilities among survivors. The common pathogens causing EOS are group B streptococcus (GBS) and Escherichia coli. Haemophilus influenzae (H. influenzae) is a Gram-negative coccobacillus that can cause severe invasive disease and can be divided into either typeable or non-typeable strains. H. influenzae serotype b (Hib) is the most virulent and the major cause of bacterial meningitis in young children prior to routine immunization against Hib. Hib infection rates have dramatically reduced since then. However, a number of studies have reported an increasing incidence of non-typeable H. influenzae (NTHi) sepsis in neonates worldwide and concluded that pregnant women may have an increased risk to invasive NTHi disease with poor pregnancy outcomes. We present a case of fulminant neonatal sepsis caused by NTHi in an extremely preterm infant and discuss potential preventative measures to reduce its re-emergence. Published version 2020-12-18T02:33:07Z 2020-12-18T02:33:07Z 2020 Journal Article Chowdhury, S. R., Bharadwaj, S., & Chandran, S. (2020). Fatal, fulminant and invasive non-typeable Haemophilus influenzae infection in a preterm infant : a re-emerging cause of neonatal sepsis. Tropical Medicine and Infectious Disease, 5(1), 30-, doi:10.3390/tropicalmed5010030 2414-6366 https://hdl.handle.net/10356/145352 10.3390/tropicalmed5010030 32093381 1 5 en Tropical Medicine and Infectious Disease © 2020 The Authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/) application/pdf
spellingShingle Science::Medicine
Non-typeable Haemophilus Influenza
Early-onset Neonatal Sepsis
Chowdhury, Sudipta Roy
Bharadwaj, Srabani
Chandran, Suresh
Fatal, fulminant and invasive non-typeable Haemophilus influenzae infection in a preterm infant : a re-emerging cause of neonatal sepsis
title Fatal, fulminant and invasive non-typeable Haemophilus influenzae infection in a preterm infant : a re-emerging cause of neonatal sepsis
title_full Fatal, fulminant and invasive non-typeable Haemophilus influenzae infection in a preterm infant : a re-emerging cause of neonatal sepsis
title_fullStr Fatal, fulminant and invasive non-typeable Haemophilus influenzae infection in a preterm infant : a re-emerging cause of neonatal sepsis
title_full_unstemmed Fatal, fulminant and invasive non-typeable Haemophilus influenzae infection in a preterm infant : a re-emerging cause of neonatal sepsis
title_short Fatal, fulminant and invasive non-typeable Haemophilus influenzae infection in a preterm infant : a re-emerging cause of neonatal sepsis
title_sort fatal fulminant and invasive non typeable haemophilus influenzae infection in a preterm infant a re emerging cause of neonatal sepsis
topic Science::Medicine
Non-typeable Haemophilus Influenza
Early-onset Neonatal Sepsis
url https://hdl.handle.net/10356/145352
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