Pneumococcal Sepsis 8 Years after Splenectomy for Chronic Immune Thrombocytopenia: A Case of Vaccinated 12-year-old Patient / 임상소아혈액종양
Clinical Pediatric Hematology-Oncology
;
: 62-65, 2013.
Article
in Korean
| WPRIM
| ID: wpr-221893
ABSTRACT
Splenectomy is a safe and effective procedure in the refractory or chronic immune thrombocytopenia (ITP) patients. Overwhelming post-splenectomy infection (OPSI) is rare but fatal. The lifetime risk of post-splenectomy patients to develop an OPSI with encapsulated bacteria (Streptococcus pneumoniae, Haemophilus influenzae or Neisseria meningitidis) is about 1-5% and the mortality is reported more than 50% in 48 hours. Though vaccination against encapsulated bacteria cannot prevent all infection, vaccination is essential for the patients. We report a case of OPSI in a 12-year-old post-splenectomy boy who was vaccinated pneumococcal polysaccharide 7-valent against pneumococcus (Streptococcus pneumoniae) 2 months before splenectomy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumonia
/
Splenectomy
/
Streptococcus pneumoniae
/
Thrombocytopenia
/
Bacteria
/
Haemophilus influenzae
/
Vaccination
/
Sepsis
/
Neisseria
Limits:
Humans
Language:
Korean
Journal:
Clinical Pediatric Hematology-Oncology
Year:
2013
Type:
Article
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