A Report of Haemophilus influenzae Bacteremia With Acute Pelvic Inflammatory Disease

Daphne-Dominique H Villanueva1, Jordan P Staton2, Asmita A Gupte3,4

  • 1Division of Infectious Diseases, West Virginia University School of Medicine, Morgantown, USA.

Cureus
|October 14, 2022
PubMed

Insights

Pelvic inflammatory disease (PID) is usually caused by genital tract organisms. This case shows Haemophilus influenzae, typically a respiratory pathogen, can cause PID originating from the endometrium.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Gynecology

Background:

  • Pelvic inflammatory disease (PID) is a common gynecological infection.
  • It is typically caused by ascending bacteria from the lower genital tract, including sexually transmitted organisms.
  • Haemophilus influenzae is primarily known as a respiratory tract pathogen and rarely associated with PID.

Observation:

  • A case study of a young woman presenting with PID is described.
  • Blood cultures from the patient revealed the presence of H. influenzae biotype II.

Findings:

  • This case demonstrates a rare instance of H. influenzae causing PID.
  • The findings suggest that the endometrium can serve as a primary source for systemic H. influenzae infections.

Implications:

  • This challenges the traditional understanding of PID etiology.
  • It highlights the importance of considering less common pathogens like H. influenzae in PID cases, especially when a typical source is absent.
  • Clinicians should be aware of the endometrium as a potential origin for systemic H. influenzae infections.

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