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Clinical Pediatrics
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Moraxella (Branhamella) Catarrhalis Bacteremia in Children

A Report of Two Patients and Review of the Literature

Gretchen A. Meyer

Departments of Pediatrics and Clinical Investigation, Naval Medical Center, San Diego, California

Timothy R. Shope

Departments of Pediatrics and Clinical Investigation, Naval Medical Center, San Diego, California

Norman J. Waecker, JR

Departments of Pediatrics and Clinical Investigation, Naval Medical Center, San Diego, California

Frederick H. Lanningham

Departments of Pediatrics and Clinical Investigation, Naval Medical Center, San Diego, California

We report two cases of Moraxella catarrhalis (M. catarrhalis ) bacteremia in apparently healthy children. One patient had bilateral otitis media and the other had pharyngitis and sinusitis; both patients had uncomplicated clinical courses. A literature review revealed 22 reported cases of M. catarrhalis bacteremia in children, 14 (63%) of which occurred in patients who had no identified underlying condition. Eight (36%) cases were seen in children who were immunocompromised. Nine (40%) patients presented with either purpura, petechia, or a maculopapular rash. M. catarrhalis is well known as a respiratory pathogen, but it has not been recognized as a common cause of unsuspected bacteremia in children.

Clinical Pediatrics, Vol. 34, No. 3, 146-150 (1995)
DOI: 10.1177/000992289503400305
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