Postsplenectomy sepsis syndrome

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Prevention of postsplenectomy sepsis.

The study of Hegarty et al. shows that two thirds of splenectomised patients are unaware of an increased risk of severe infectious diseases and cites nine recommendations to prevent severe infections. These data con®rm the ®ndings of several other studies. The Department of Haematology at Heinrich-HeineUniversity of DuÈ sseldorf has adopted an intense counselling attitude towards asplenic patie...

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Postsplenectomy sepsis: a lifelong risk.

Overwhelming postsplenectomy infection is a term used to describe the clinical syndrome of fulminant bacteraemia, disseminated intravascular coagulation, multi-organ failure, severe hypoglycaemia and rapid death which has been described in patients who have been splenectomised for a variety of reasons.1 2 Whilst the highest mortality has been reported in the early post-operative period and in t...

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Postsplenectomy sepsis 10 years or more after operation.

Three new cases (two fatal) of postsplenectomy sepsis occurring 14, 25, and 26 years after operation for hereditary spherocytosis are described. There are now 25 cases in the published work in which this complication occurred 10 or more years after operation, 14 of which were fatal. The mean age of onset is 37 years. The features of the disease are similar to those seen in other postsplenectomy...

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Prevention of postsplenectomy sepsis: how much do patients know?

INTRODUCTION Asplenia causes a deficiency in immunity with a long-term risk of fulminant infection, associated with significant mortality. Patient compliance requires an understanding of risks of infection and its prevention. The impact of patient education has been little studied. MATERIALS AND METHODS To ascertain the degree of knowledge held by patients who have undergone splenectomy, a co...

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Management of Overwhelming Postsplenectomy Infection Syndrome

Overwhelming postsplenectomy infection (OPSI) is a rare medical emergency, mainly caused by encapsulated bacteria, shortly progressing from a mild flulike syndrome to a fulminant, potentially fatal, sepsis. The risk of OPSI is higher in children and in patients with underlying benign or malignant hematological disorders. The identification of Howell-Jolly bodies on peripheral blood examination ...

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ژورنال

عنوان ژورنال: Revista Virtual de la Sociedad Paraguaya de Medicina Interna

سال: 2020

ISSN: 2312-3893

DOI: 10.18004/rvspmi/2312-3893/2020.07.02.109