脾切除患者支气管镜检查后发生致命性流感嗜血杆菌败血症

Fatal Haemophilus influenzae septicemia following bronchoscopy in a splenectomized patient.

作者信息

Gillis S, Dann E J, Berkman N, Koganox Y, Kramer M R

机构信息

Department of Hematology, Hadassah University Medical Center, Jerusalem, Israel.

出版信息

Chest. 1993 Nov;104(5):1607-9. doi: 10.1378/chest.104.5.1607.

DOI:10.1378/chest.104.5.1607

PMID:8222835

Abstract

We describe a 46-year-old splenectomized patient who died of Haemophilus influenzae septicemia 16 h following bronchoscopy. Although rare, postsplenectomy overwhelming sepsis is always a danger in splenectomized patients undergoing invasive procedures. Chemoprophylaxis should be considered in asplenic patients peribronchoscopy.

摘要

我们描述了一名46岁的脾切除患者，该患者在支气管镜检查后16小时死于流感嗜血杆菌败血症。尽管罕见，但脾切除术后暴发性败血症对于接受侵入性操作的脾切除患者始终是一种危险。对于无脾患者，在支气管镜检查前后应考虑进行化学预防。