Shalit M, Gross D J, Levo Y
Ann Rheum Dis. 1982 Dec;41(6):615-6. doi: 10.1136/ard.41.6.615.
A patient with systemic lupus erythematosus who developed pneumococcal epiglottitis is described and the literature reviewed. This infection is extremely rare in adults, and only 10 cases, none of them with SLE, have so far been reported. Epiglottitis is usually caused by Haemophilus influenzae. However, in immunocompromised hosts the probability of Streptococcus pneumoniae as the infecting agent is considerable. Penicillin should therefore be part of the antimicrobial regimen in such patients.
本文描述了一名患有系统性红斑狼疮并发生肺炎球菌性会厌炎的患者，并对相关文献进行了综述。这种感染在成年人中极为罕见，迄今为止仅报告了10例，其中无一例患有系统性红斑狼疮。会厌炎通常由流感嗜血杆菌引起。然而，在免疫功能低下的宿主中，肺炎链球菌作为感染病原体的可能性很大。因此，青霉素应作为此类患者抗菌治疗方案的一部分。
