PMID- 6971959 OWN - NLM STAT- MEDLINE DCOM- 19810709 LR - 20071114 IS - 0023-6837 (Print) IS - 0023-6837 (Linking) VI - 44 IP - 5 DP - 1981 May TI - Mechanism of potentiation of experimental Haemophilus influenzae type B disease in infant rats by influenza A virus. PG - 434-41 AB - Intranasal infection of infant rats by virulent influenza A virus increases the frequency and magnitude of bacteremia induced by subsequent atraumatic intranasal inoculation of Haemophilus influenzae type b (HIb). The mechanism of the "potentiating" effect was studied by histology, by measurement of the frequency and kinetics of bacteremia in rats preinoculated with virus, or a chemical irritant (0.1 N HCl), by comparison of the latter with physically "traumatic" bacterial inoculation, and correlation of these data with nasal HIb titers. Both virus and acid induced significant nasal inflammation which progressed following bacterial inoculation. A period of intranasal proliferation of HIb preceded bacteremia in rats preinoculated with either virus or acid. In contrast, bacteremia occurred almost immediately following physically traumatic bacterial inoculation suggesting that direct intravascular invasion had occurred under those circumstances. Repeated atraumatic inoculation of HIb or HIb followed by growth medium both produced a significantly increased frequently of bacteremia compared to a single inoculation, suggesting that the prolonged presence of large numbers of intranasal HIb was a factor in producing bacteremia and that virus or acid-induced mucosal inflammation may lead to elaboration of growth factors for HIb in nasal tissues. FAU - Myerowitz, R L AU - Myerowitz RL FAU - Michaels, R H AU - Michaels RH LA - eng GR - R01-AI-11932-04/AI/NIAID NIH HHS/United States GR - R01-AI-15988-01/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Lab Invest JT - Laboratory investigation; a journal of technical methods and pathology JID - 0376617 SB - IM MH - Animals MH - Disease Models, Animal MH - Haemophilus Infections/complications/*microbiology MH - Haemophilus influenzae MH - Inflammation/microbiology MH - Nasal Mucosa/pathology MH - Orthomyxoviridae Infections/*complications MH - Rats MH - Sepsis/etiology EDAT- 1981/05/01 00:00 MHDA- 1981/05/01 00:01 CRDT- 1981/05/01 00:00 PHST- 1981/05/01 00:00 [pubmed] PHST- 1981/05/01 00:01 [medline] PHST- 1981/05/01 00:00 [entrez] PST - ppublish SO - Lab Invest. 1981 May;44(5):434-41.