Haemophilus influenzae type b meningitis in a vaccinated, immunocompetent infant with reactive arthritis
Nystrup, K.B.øn.; Wilms, L.K.øn.
Ugeskrift for Laeger 177(2a): 8-9
2015
ISSN/ISBN: 1603-6824 PMID: 25612943 Document Number: 680370
Due to the excellent immunogenicity of the Haemophilus influenzae type b (Hib) conjugate vaccines, vaccine failures are rarely seen in patients following the recommended national immunization programmes. We present an infant with Hib meningitis despite relevant prophylaxis, without known risk factors such as medical co-morbidity, immunosuppression, immunoglobulin deficiency or prematurity. Later, a reactive arthritis developed. In conclusion, Hib-meningitis can occur in vaccinated, immunocompetent patients, and antibiotics covering Hib should be chosen in patients presenting with meningitis.