WhileHaemophilus influenzaetype B (Hib) is well described in the literature to cause osteomyelitis, non-typeableH. influenzaehas not. In areas where vaccination is routine, the prevalence of Hib has declined, whereas, in contrast, the prevalence of non-typeableH. influenzahas increased. Generally, the non-typeable strains are less invasive but can access the vascular system by transmural migration through epithelial tight junctions or by an independent intercellular mechanism. Herein, we described a case of a 79-year-old man with the first case of non-typeableH. influenzaecausing cervical osteomyelitis with associated bacteremia in an elderly adult.