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KMID : 0882420060700060725
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Korean Journal of Medicine
2006 Volume.70 No. 6 p.725 ~ p.728
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A case of overwhelming postsplenectomy infection with purpura fulminans by Streptococcus pneumoniae
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Yoo Ji-Youn
Song Hae-Geun
Lee Jung-Hwa
Kim Ki-Seong
Lee Seung-Soon
Kim Hyo-Jung
Jung Do-Run
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Abstract
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The most serious problem after splenectomy is the increased risk of life-threatening infections caused by encapsulated bacteria such as Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis. Purpura fulminans, which is commonly associated with meningococcal sepsis, is characterized by disseminated intravascular coagulation and rapidly progressive purpuric skin lesions. Purpura fulminans can also develop in invasive pneumococcal infection especially after splenectomy, however, there has been no report in Korea. We report a case of overwhelming pneumococcal sepsis manifested as purpura fulminans in a splenectomized patient.(Korean J Med 70:725-728, 2006)
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KEYWORD
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Purpura fulminans, Streptococcus pneumoniae, Sepsis, Splenectomy, Disseminated intravascular coagulation
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