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Pneumococcal Pneumonia and Septicemia Resulting from a Nontypable Strain of Pneumococcus

Streptococcus pneumonia is among the most common of etiologic agents responsible for community acquired bacterial pneumonias, and in about 20 per cent of adults with pneumococcal pneumonia, bacteremia develops that significantly increases the mortality rate.' The use of the polyvalen t pneumococcal vaccine has reduced the incidence of infection, with the 14 serotypes included in the vaccine.2 We report the occurrence of pneumococcal pneumonia and bacteremia due to a nontypable strain of pneumococcus in a patient who had previously received pneumococcal vaccination.