Tasaka T, Nagai M, Ikeda K, Sasaki K, Murata M, Taoka T, Tanaka T, Irino S, Takahara J
First Department of Internal Medicine, Kagawa Medical School, Japan.
Intern Med. 1992 Sep;31(9):1137-8. doi: 10.2169/internalmedicine.31.1137.
This report describes pneumococcal meningitis in two splenectomized patients with lymphoid malignancy. Early diagnosis and emergency treatment of pneumococcal infection in splenectomized patients is proven to be of significant value. Prophylactic antibiotics targeted against pneumococcus should be considered for the clinical management of such conditions in splenectomized patients, particularly during cytotoxic chemotherapy.
本报告描述了两名患有淋巴系统恶性肿瘤的脾切除患者发生的肺炎球菌性脑膜炎。事实证明,对脾切除患者的肺炎球菌感染进行早期诊断和紧急治疗具有重要价值。对于脾切除患者此类情况的临床管理,尤其是在细胞毒性化疗期间,应考虑使用针对肺炎球菌的预防性抗生素。