Bremmelgaard A, Hilsted L M, Leikersfeldt G, Sonnenschein C H
Bispebjerg Hospital, København, klinisk kermisk afdeling og anaestesiologisk-intensiv afdeling R.
Ugeskr Laeger. 1990 Mar 5;152(10):678-80.
Two cases of fulminant pneumococcal septicaemia are reported. These occurred 18 and 25 years after splenectomy. These patients had not received pneumococcal vaccination. Disseminated intravascular coagulation developed early and was of decisive significance for the course of the illness with lethal issue. The characteristic clinical picture in pneumococcal speticaemia in asplenic patients may be misinterpreted initially as influenza and meticulous observation is therefore necessary and antibiotic treatment according to current guidelines should be initiated as early possible in febrile episodes.
报告了两例暴发性肺炎球菌败血症病例。这些病例发生在脾切除术后18年和25年。这些患者未接种肺炎球菌疫苗。早期发生了弥散性血管内凝血，这对疾病的进程具有决定性意义，最终导致死亡。无脾患者肺炎球菌败血症的特征性临床表现最初可能被误诊为流感，因此需要仔细观察，并且在发热发作时应尽早根据现行指南开始抗生素治疗。
