Endophthalmitis complicating Haemophilus influenzae type B meningitis

In two children, pyogenic endophthalmitis developed simultaneously with Haemophilus influenzae type b meningitis. The eye of one of the patients recovered fully; the eye of the other became phthisical and was enucleated. Culturable or pathologically identifiable organisms were not found in either eye; nevertheless, it is suggested that these cases represented metastatic H influenzae type b endophthalmitis from a primary site of infection in the meninges.