Hyposplenic, coagulopathic, cryptogenetic pneumococcemia

An unusual case of sudden, fulminant pneumococcemia and disseminated intravascular coagulation occurred in a woman who had had incidental splenectomy 8 months previously, at the time of gastrectomy for duodenal ulcer. Similar cases in which there is constant relationship of splenectomy, pneumococcal...

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Bibliographic Details
Published in:	American journal of clinical pathology Vol. 64; no. 3; p. 405
Main Authors:	Wenk, R E, Dutta, D
Format:	Journal Article
Language:	English
Published:	England 01-09-1975
Subjects:	Adrenal Gland Diseases Aged Disseminated Intravascular Coagulation Female Hemorrhage Humans Peptic Ulcer - surgery Pneumococcal Infections Postgastrectomy Syndromes Postoperative Complications Sepsis Splenectomy Syndrome
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Summary:	An unusual case of sudden, fulminant pneumococcemia and disseminated intravascular coagulation occurred in a woman who had had incidental splenectomy 8 months previously, at the time of gastrectomy for duodenal ulcer. Similar cases in which there is constant relationship of splenectomy, pneumococcal sepsis, and Waterhouse-Friderichsen syndrome have been documented. Other similarities which are notable are a tendency for the disease to occur in women, lack of a nidus of infection, and proliferation of diplococci to numbers great enough to be seen easily on the peripheral blood smear.
ISSN:	0002-9173
DOI:	10.1093/ajcp/64.3.405