一名接种过疫苗的脾切除成年患者发生致命性肺炎球菌菌血症伴弥散性血管内凝血及华-佛综合征。病例报告。
Fatal pneumococcal bacteremia with disseminated intravascular coagulation and Waterhouse-Friderichsen syndrome in a vaccinated splenectomized adult. Case report.
作者信息
Lindblad B E, Lindblad L N
机构信息
Second University Clinic of Internal Medicine, Kommunehospitalet, Aarhus, Denmark.
出版信息
Acta Chir Scand. 1990 Jun-Jul;156(6-7):487-8.
PMID:2368552
Abstract
Fatal pneumococcal bacteremia, disseminated intravascular coagulation and Waterhouse Friderichsen syndrome in a vaccinated, splenectomized adult were caused by serotype 22F (Danish classification), which was not included in the vaccine. Revaccination with a 23-valent pneumococcal vaccine and antibiotic prophylaxis are advocated for patients who have undergone splenectomy.
摘要
一名接种过疫苗且已行脾切除术的成年人发生了由22F血清型（丹麦分类法）引起的致命性肺炎球菌菌血症、弥散性血管内凝血和华-弗综合征，而该血清型并不在疫苗范围内。对于接受过脾切除术的患者，提倡再次接种23价肺炎球菌疫苗并进行抗生素预防。
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