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    Meningitis in a School-Aged Child due to Haemophilus influenzae Type E during the Post-Conjugate Vaccine Era—Monroe County, NY, 2011

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    Author
    Kennedy, Byron S.
    Weimer, Anita C.
    Bedard, Brenden A.
    Nayak, Jennifer L.
    Sacheli, Drew
    Ricci, John
    Meyer, Donna D.
    Hubbard, Donna
    Keyword
    Haemophilus Influenza
    Public Health
    Real-Time Polymerase Chain Reaction
    RT-PCR
    Journal title
    Vaccines
    Date Published
    2014-02-01
    Publication Volume
    2
    Publication Issue
    1
    
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    URI
    http://hdl.handle.net/20.500.12648/2357
    Abstract
    In late October 2011, the Monroe County Department of Public Health (MCDPH) was notified of a suspected case of meningitis in a 9-year old girl from Monroe County, NY. Laboratory testing at the New York State Department of Health (NYSDOH) Wadsworth Center confirmed the identification of Haemophilus influenzae serotype e (Hie) isolated from the patient’s cerebrospinal fluid (CSF) using real-time polymerase chain reaction (RT-PCR). The universal immunization of infants with conjugate H. influenzae type b (Hib) vaccine has significantly reduced the incidence of invasive Hib disease, including meningitis, one of the most serious complications for infected children. Not surprisingly, as the epidemiology of invasive H. influenzae continues to change, non-Hib serotypes will likely become more common. The findings reported here underscore the importance for clinicians, public health officials, and laboratory staff to consider non-Hib pathogens in pediatric cases of meningitis, especially when initial investigations are inconclusive.
    Citation
    Kennedy, B.; Weimer, A.; Bedard, B.; Nayak, J.; Sacheli, D.; Ricci, J.; Meyer, D.; Hubbard, D. Meningitis in a School-Aged Child due to Haemophilus influenzae Type E during the Post-Conjugate Vaccine Era—Monroe County, NY, 2011. Vaccines 2014, 2(1), 107-111; doi:10.3390/vaccines2010107. http://www.mdpi.com/2076-393X/2/1/107
    DOI
    https://doi.org/10.3390/vaccines2010107
    Description
    © 2014 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).
    ae974a485f413a2113503eed53cd6c53
    https://doi.org/10.3390/vaccines2010107
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    Health Science Faculty Publications

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