脾切除术后的脑膜炎。
Meningitis after splenectomy.
作者信息
Selby C D, Toghill P J
机构信息
Department of Medicine, University Hospital, Nottingham.
出版信息
J R Soc Med. 1989 Apr;82(4):206-9. doi: 10.1177/014107688908200408.
Abstract
Five splenectomized patients suffered six episodes of bacterial meningitis with positive cerebrospinal fluid cultures. They were admitted to the Nottingham hospitals between 1974 and 1985. The infecting organism in all cases was Streptococcus pneumoniae. Only one patient, who survived, had had pneumococcal vaccine; two patients died in spite of intensive therapy. There is now good evidence for giving prophylactic penicillin to asplenic patients but the efficacy of the pneumococcal vaccine remains uncertain.
摘要
5例脾切除患者发生了6次细菌性脑膜炎，脑脊液培养呈阳性。他们于1974年至1985年间入住诺丁汉的医院。所有病例的感染病原体均为肺炎链球菌。只有1例存活患者接种过肺炎球菌疫苗；2例患者尽管接受了强化治疗仍死亡。现在有充分证据表明应给无脾患者预防性使用青霉素，但肺炎球菌疫苗的疗效仍不确定。
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Pneumococcal meningitis with a prolonged course in splenectomized patient.
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Babesiosis in splenectomized adults. Review of 22 reported cases.脾切除术后成人的巴贝斯虫病。22例报告病例综述。
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Antibody responses to meningococcal polysaccharide vaccine in adults without a spleen.无脾成年人对脑膜炎球菌多糖疫苗的抗体反应。
Am J Med. 1984 Jan;76(1):115-21. doi: 10.1016/0002-9343(84)90759-9.
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Severe cytomegalovirus infection in multiply transfused, splenectomized, trauma patients.多次输血、脾切除的创伤患者中的严重巨细胞病毒感染
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