Wenk R E, Dutta D
Am J Clin Pathol. 1975 Sep;64(3):405-9. doi: 10.1093/ajcp/64.3.405.
An unusual case of sudden, fulminant pneumococcemia and disseminated intravascular coagulation occurred in a woman who had had incidental splenectomy 8 months previously, at the time of gastrectomy for duodenal ulcer. Similar cases in which there is constant relationship of splenectomy, pneumococcal sepsis, and Waterhouse-Friderichsen syndrome have been documented. Other similarities which are notable are a tendency for the disease to occur in women, lack of a nidus of infection, and proliferation of diplococci to numbers great enough to be seen easily on the peripheral blood smear.
一名8个月前因十二指肠溃疡行胃切除术时意外接受脾切除术的女性，发生了一例罕见的突发性暴发性肺炎球菌血症和弥散性血管内凝血。已有文献记载了脾切除术、肺炎球菌败血症和华-佛综合征之间存在固定关系的类似病例。其他值得注意的相似之处包括：该病倾向于在女性中发生、缺乏感染病灶以及双球菌增殖到在外周血涂片上易于看到的数量。
