Knudsrød O G, Hoff-Olsen P
Medisinsk avdling, Larvik sykehus.
Tidsskr Nor Laegeforen. 1994 Sep 30;114(23):2709-10.
The authors describe the case of an otherwise healthy man who died from pneumococcal septicemia 18 years after having undergone splenectomy. It is widely accepted that splenectomized patients run increased risk of serious bacterial infections. Meningitis and septicemia caused by encapsulated organisms, especially Streptococcus pneumoniae, are most important in this respect, with a reported mortality of 30-60%. Since 1977, splenectomized patients have been offered pneumococcal vaccine as a routine, but persons who was splenectomized before 1977 are not identified, and run an unknown risk of serious infectious disease. Possible approaches to this problem of identification are discussed.
作者描述了一例原本健康的男性病例，该男子在接受脾切除术后18年死于肺炎球菌败血症。脾切除患者发生严重细菌感染的风险增加，这一点已被广泛接受。在这方面，由包膜菌引起的脑膜炎和败血症，尤其是肺炎链球菌，最为重要，据报道死亡率为30%-60%。自1977年以来，已将肺炎球菌疫苗作为常规疫苗提供给脾切除患者，但1977年以前接受脾切除的人未被识别，面临严重传染病的未知风险。文中讨论了识别这一问题的可能方法。
