A recent review of patients with meningitis caused by encapsulated non-type b Haemophilus influenzae noted 41 cases, none of which was due to type d.1 We believe the following is the first reported such case:

A 12-year-old black girl was hospitalized with a two-day history of a right frontal headache and a one-day history of a swollen right eye, dizziness, and a stiff neck. The past medical history was unremarkable. On physical examination, the patient was alert and cooperative with a rectal temperature of 38.1 C.

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