A 79-year-old female developed endocarditis and meningitis due to an ampicillin-resistant, non-f-lactamase-producing strain of Haemophilus influenzae. Carbenicillin and gentamicin therapy resulted in bacteriological and clinical cure. The mechanism of resistance of ampicillin-resistant, non-fi-lactamase-producing strains of H. influenzae is unknown. Recent reviews have documented the increasing frequency of serious infections due to Haemophilus influenzae in adults (8,14). Optimal treatment of such infections in adults is controversial because of the emergence of strains of H. influenzae resistant to ampicillin (13). Most of these strains elaborate a ,-lactamase (10) whose production is mediated by genes located on a plasmid (6, 19). Occasionally, ampicillin-resistant strains of H. influenzae have been isolated and found not to produce ,B-lactamase (11,20,22 Fig.