Nontypeable Haemophilus influenzae strain INT1 was isolated from the b
lood of a young child with clinical signs of meningitis following acut
e otitis media, No immunologic or anatomic predisposition of this chil
d for invasive bacterial infection with an unusual organism was docume
nted, Sensitive ELISA proved the absence of intra- or extracellular ca
psular polysaccharide production by INT1, and Southern blot analysis c
onfirmed the lack of an intact capsulation (cap) gene locus within the
chromosome. Nevertheless, INT1 established bacteremia and meningitis
in infant and weanling rat models of invasive H, influenzae infection.
High-molecular-weight DNA isolated from INT1 was shown to confer an i
nvasive phenotype on transformation of a nonencapsulated, avirulent la
boratory strain of H. influenzae. Together these findings imply the pr
esence of one or more as-yet-undiscovered, noncapsular virulence facto
rs of H. influenzae that are capable of mediating invasive disease and
resistance to immunologic clearance.