Volume 23, Number 7—July 2017
Research Letter
Haemophilus influenzae Type a Meningitis in Immunocompetent Child, Oman, 2015
Kiran P. Sawardekar
Table
Results of sequential laboratory tests and CT scans of the head during the clinical course of Hia meningitis in a child admitted to Nizwa Hospital, Oman, August 2015*
| Test type |
Hospitalization day |
||||||||
| 1 |
2 |
8 |
10 |
14 |
18 |
26 |
27 |
||
| Adm |
Adm + 12 |
||||||||
| Blood | |||||||||
| Leukocytes, × 103 cells/μL† | 2.24 | 8.71 | 10.52 | 13.08 | 12.32 | 8.48 | 4.56 | ||
| Neutrophils, × 103 cells/μL‡ | 0.78 | 6.04 | 7.66 | 4.92 | 5.51 | 2.50 | 0.82 | ||
| Lymphocytes, × 103 cells/μL§ | 1.22 | 2.02 | 2.38 | 5.98 | 5.21 | 5.12 | 2.89 | ||
| Platelets, × 103/μL¶ | 158.30 | 79.12 | 41.13 | 419.90 | 644.70 | 525.80 | 279.20 | ||
| Hemoglobin, g/dL# | 10.18 | 9.30 | 9.13 | 9.06 | 8.47 | 9.22 | 10.38 | ||
| CRP, mg/L** | 79.30 | 483.40 | 248.50 | 33.70 | 35.30 | ||||
| Blood culture |
Hia |
NG |
NG |
||||||
| CSF | |||||||||
| Leukocytes, cells/mm3 | 2,970 | 390 | 65 | ||||||
| Neutrophils, % | 91 | 10 | 12 | ||||||
| Lymphocytes, % | 9 | 90 | 88 | ||||||
| Protein, mg/dL†† | 190.79 | 100.34 | 27.11 | ||||||
| Glucose, mmol/L‡‡ | 1.13 | 2.24 | 2.83 | ||||||
| Glucose CSF:blood | 0.26 | 0.56 | 0.70 | ||||||
| Gram stain | NM | NM | NM | ||||||
| Culture |
NG |
NG |
NG |
||||||
| CT scan of the head | |||||||||
| Unremarkable | Mild ventricular dilation with bilateral subdural effusion | Complete disappearance of subdural effusion; persistence of mild ventricular dilation | |||||||
*Adm, at admission; Adm + 12, 12 h after admission; CRP, C-reactive protein; CSF, cerebrospinal fluid; CT, computed tomography; Hia, Haemophilus Influenzae type a; NA, not applicable; NG, no growth; NM, no microorganisms.
†Reference range 4.5–14.5 × 103 cells/μL.
‡Reference range 1.4–9.0 × 103 cells/μL.
§Reference range 1.9–9.8 × 103 cells/μL.
¶Reference range 150–450 × 103/μL.
#Reference range 11.5–15.5 g/dL.
**Reference range 0–5 mg/L.
††Reference range 15–45 mg/dL.
‡‡Reference range 2.2–3.9 mmol/L.
Page created: June 19, 2017
Page updated: June 19, 2017
Page reviewed: June 19, 2017
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