Haemophilus influenzaePneumonitis

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To the editor: We read with interest the report of Musher and colleagues (1) on pneumonia and acute tracheobronchitis due to Haemophilus influenzae. Indeed, respiratory tract infections with H. influenzae generally present as an acute inflammatory process (2). Recently, however, a patient with chronic influenzal pneumonitis was reported (3). We describe a further unusual case of chronic H. influenzae pneumonia in a patient to remind the reader that such an organism can occur not only in acute but chronic pneumonias.

An 80-year-old woman was admitted with a mild nonproductive cough, low-grade fever, anorexia, and weight loss. She had smoked 20 years earlier, but had no bronchitis, asthma, alcoholism or diabetes. A chest roentgenogram showed

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