Hatch J P, Sibbald W J, Austin T W
Can Med Assoc J. 1983 Oct 15;129(8):851-4.
In a woman with an atrophic, apparently nonfunctioning spleen pneumococcal septicemia led to death within 72 hours of admission. As in five previously described adults, the patient's presentation and subsequent clinical course were identical to those of the syndrome of overwhelming postsplenectomy infection, except that there was no history of splenectomy. Patients without spleens may be given penicillin prophylaxis for an indefinite period, vaccinated against pneumococci or both.
在一名脾脏萎缩、明显无功能的女性患者中,肺炎球菌败血症在入院后72小时内导致死亡。与之前描述的5名成年人一样,该患者的表现及随后的临床病程与暴发性脾切除后感染综合征相同,只是没有脾切除史。无脾患者可长期接受青霉素预防性治疗、接种肺炎球菌疫苗或两者同时进行。