Sher R, Block C S, Gomperts E D
S Afr Med J. 1979 Apr 14;55(16):643-6.
We present a case of fulminant pneumococcaemia and disseminated intravascular coagulopathy in a young adult man 17 years after splenectomy. The clinical presentation, laboratory and postmortem findings are discussed. The diagnosis, management and prophylaxis of overwhelming infections in splenectomized patients are reviewed. The advent of pneumococcal and other vaccines could contribute significantly to the successful protection of asplenic patients against certain severe infections.
我们报告一例青年男性在脾切除术后17年发生暴发性肺炎球菌血症和弥散性血管内凝血的病例。文中讨论了临床表现、实验室检查及尸检结果。对脾切除患者严重感染的诊断、治疗及预防进行了综述。肺炎球菌疫苗及其他疫苗的出现可能对成功保护无脾患者免受某些严重感染有显著作用。
