Lindblad B E, Lindblad L N
Second University Clinic of Internal Medicine, Kommunehospitalet, Aarhus, Denmark.
Acta Chir Scand. 1990 Jun-Jul;156(6-7):487-8.
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.
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。
