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Bacteremic pneumococcal epiglottitis in adults with malignancy.

The pneumococcus is an uncommon cause of epiglottitis. Two adults with bacteremic pneumococcal epiglottitis are reported, one of whom was previously immunized with polyvalent pneumococcal vaccine. These 2 cases and 4 of 5 previously reported adult cases occurred in patients with an underlying malignancy. Possible mechanisms for this association are discussed.