Rose F B, Garman R F, Falkenberg K J, Camp C J
Scand J Infect Dis. 1982;14(4):301-3. doi: 10.3109/inf.1982.14.issue-4.11.
Described is an adult with acute epiglottitis, cellulitis of the neck and chest, and Streptococcus pneumoniae bacteremia. Although this syndrome is usually associated with Haemophilus influenzae type b, this case illustrates that in adults a similar syndrome can be produced by S. pneumoniae. The failure to determine an etiologic agent in approximately two thirds of reported adult cases of epiglottitis raises the question as to whether S. pneumoniae, a common adult respiratory pathogen, might fill this etiological void. To establish such an association between S. pneumoniae and acute epiglottitis would be further impetus to immunize patients against S. pneumoniae.
报告了一名患有急性会厌炎、颈部和胸部蜂窝织炎以及肺炎链球菌菌血症的成年人。虽然这种综合征通常与b型流感嗜血杆菌有关，但该病例表明，在成年人中，肺炎链球菌也可引发类似综合征。在大约三分之二已报告的成人会厌炎病例中未能确定病原体，这就引发了一个问题，即常见的成人呼吸道病原体肺炎链球菌是否可能填补这一病因空白。确定肺炎链球菌与急性会厌炎之间的这种关联，将进一步推动针对肺炎链球菌对患者进行免疫接种。
