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[Recurrent pneumococcal meningitis after splenectomy].

Abstract
We report the case of a female patient with thrombocytopenic purpura Werlhof. Splenectomy was followed by relapsing pneumococcal meningitis. Particularly, repetitive infections were caused by pneumococcus capsula type 13. This type is not included in the common 23-polyvalent vaccine matter. The necessity of splenectomy in autoimmunological diseases should be considered carefully in the individual case. Patients should be well informed of the high risk of infection after splenectomy and should undergo medical treatment immediately.
AuthorsM Gerwig, A Wittkämper, U Liebetrau, J N Petrovici
JournalDer Nervenarzt (Nervenarzt) Vol. 65 Issue 10 Pg. 722-4 (Oct 1994) ISSN: 0028-2804 [Print] Germany
Vernacular TitleRezidivierende Pneumokokkenmeningitis nach Splenektomie.
PMID7808574 (Publication Type: Case Reports, English Abstract, Journal Article)
Topics
  • Adult
  • Diagnostic Imaging
  • Female
  • Humans
  • Meningitis, Pneumococcal (diagnosis, etiology)
  • Postoperative Complications (diagnosis, etiology)
  • Purpura, Thrombocytopenic, Idiopathic (surgery)
  • Recurrence
  • Risk Factors
  • Sepsis (diagnosis, etiology)
  • Splenectomy

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