Robert A. Robinson

Hemophilus aphrophilus meningitis followed by vertebral osteomyelitis and suppurative psoas abscess

Hemophilus aphrophilus is an uncommon pathogen in man. It has rarely been reported as a cause of meningitis, exclusively in boys three years or younger. Osteomyelitis due to this organism is also rare. H. aphrophilus was responsible for meningitis, probable thoracic empyema, and ultimately vertebral osteomyelitis and suppurative psoas abscess formation in a woman following metrizamide myelography. The patient responded well to antibiotic treatment and surgical drainage. The organism was sensitive not only to chloramphenicol but also to newer cephalosporin antibiotics.

Retroperitoneal abscess and septic arthritis of the hip in children: a problem in differential diagnosis.

Three cases of children with retroperitoneal abscess which appeared to be septic arthritis of the hip have been presented. The clinical characteristics of fourteen cases of retroperitoneal abscess have been compared with those of twenty cases of septic arthritis of the hip.nnAlso, the usefulness of testing hip motion, aspirating the hip joint, examining the rectum, and viewing abdominal roentgenograms has been described.