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A Case of Waterhouse-Friderichsen Syndrome Resulting from an Invasive Pneumococcal Infection in a Patient with a Hypoplastic Spleen
المؤلفون المشاركون
Takeuchi, Nobuhiro
Emori, Kazumasa
Soneda, Junichi
المصدر
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-01-28
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
A 50-year-old male was brought to our emergency department by ambulance with complaints of pain and numbness in both legs.
At arrival, purple spots were evident on his neck and face.
Examination of the vital sign indicated septic shock.
Laboratory data and blood gas analysis revealed disseminated intravascular coagulation, multiple organ failure, and metabolic acidosis.
Peripheral blood smears revealed Howell-Jolly bodies, indicating decreased splenic function.
A rapid urinary pneumococcal antigen test was also found to be positive.
After admission to the intensive care unit, extensive treatment, including polymyxin-B direct hemoperfusion and administration of methylprednisolone and broad spectrum antibiotics was immediately initiated.
Despite of our efforts to save his life, the patient died six hours after the arrival.
The following day, blood cultures revealed the presence of Streptococcus pneumoniae.
An autopsy revealed a hypoplastic spleen and a bilateral adrenal hemorrhage, indicating acute adrenal insufficiency caused by sepsis.
Finally, the patient was diagnosed with Waterhouse-Friderichsen syndrome.
Although severe infection may be seen in the splenectomized patients, it should be noted that patients with a hypoplastic spleen may have acute severe infections.
We, therefore, report a case of Waterhouse-Friderichsen syndrome resulting from an invasive pneumococcal infection in a patient with a hypoplastic spleen.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Emori, Kazumasa& Takeuchi, Nobuhiro& Soneda, Junichi. 2016. A Case of Waterhouse-Friderichsen Syndrome Resulting from an Invasive Pneumococcal Infection in a Patient with a Hypoplastic Spleen. Case Reports in Critical Care،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1100435
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Emori, Kazumasa…[et al.]. A Case of Waterhouse-Friderichsen Syndrome Resulting from an Invasive Pneumococcal Infection in a Patient with a Hypoplastic Spleen. Case Reports in Critical Care No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1100435
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Emori, Kazumasa& Takeuchi, Nobuhiro& Soneda, Junichi. A Case of Waterhouse-Friderichsen Syndrome Resulting from an Invasive Pneumococcal Infection in a Patient with a Hypoplastic Spleen. Case Reports in Critical Care. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1100435
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1100435
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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