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Case Reports in Medicine
Volume 2009, Article ID 627170, 3 pages
http://dx.doi.org/10.1155/2009/627170
Case Report

Pneumococcal Bacteremia Presenting as Acute Parotitis and Sepsis

Department of Medicine, Long Island Jewish Medical Center, North Shore-Long Island Jewish Health System, New Hyde Park, NY 11040, USA

Received 9 June 2009; Accepted 6 July 2009

Academic Editor: Edward Abraham

Copyright © 2009 Ashish Kataria and Alan S. Multz. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of a 33-year-old female with history of Systemic Lupus Erythematosus (SLE) presenting with acute febrile illness and unilateral parotid gland enlargement progressing to septic shock. The chest imaging showed bilateral multilobar infiltrates and Pneumococci were identified in the blood cultures. The patient was treated with broad-spectrum antibiotics. The underlying imunosupression caused by SLE and long-term steroid treatment could have predisposed this patient to invasive Pneumococcal disease.