title: Acute pneumococcal epiglottitis in immunocompromised adults.
abstract: 3 cases of acute bacterial epiglottitis in immunocompromised adults are reported. All were due to Streptococcus pneumoniae, an unusual pathogen in this disease. Only 1 other case of acute bacterial epiglottitis also due to S. pneumoniae has been reported in an immunocompromised adult. The occurrence of this disease in 4 immunocompromised adults suggest that an Arthus reaction may not be important in the pathogenesis of acute epiglottitis due to S. pneumoniae.
mesh_terms: D000208:Acute Disease; D000328:Adult; D002701:Chloramphenicol / Q000627:therapeutic use; D004825:Epiglottis / Q000382:microbiology; D004917:Erythromycin / Q000627:therapeutic use; D005260:Female; D006689:Hodgkin Disease / Q000150:complications; D006801:Humans; D007827:Laryngitis / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology*; D007951:Leukemia, Myeloid / Q000150:complications; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications; D010400:Penicillin G / Q000627:therapeutic use; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*
chemical_list: D004917:Erythromycin; D002701:Chloramphenicol; D010400:Penicillin G