Fatal Pneumococcal Septic Shock in a Patient with Ulcerative Colitis

Splenectomy and functional asplenia are associated with an increased risk of primary bacteremia, particularly that due to Streptococcus pneumoniae and Haemophilus influenzae. Rapidly progressive and intractable shock with disseminated intravascular coagulation are prevented only by early appropriate...

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Veröffentlicht in:	Clinical infectious diseases 1996-05, Vol.22 (5), p.860-861
Hauptverfasser:	van der Hoeven, Johannes G., de Koning, Jan, Masclee, A. M., Meinders, Arend E.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Biological and medical sciences Blood Brief Reports Colitis, Ulcerative - complications Erythrocyte inclusions Fatal Outcome Gastroenterology. Liver. Pancreas. Abdomen Haemophilus influenzae Humans Inflammatory bowel diseases Intestinal diseases Male Medical sciences Other diseases. Semiology Pneumococcal Infections - etiology Postmortem examinations Relapse Sepsis Septic shock Shock, Septic - complications Spleen Splenic Diseases - complications Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Streptococcus pneumoniae Ulcerative colitis
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Zusammenfassung:	Splenectomy and functional asplenia are associated with an increased risk of primary bacteremia, particularly that due to Streptococcus pneumoniae and Haemophilus influenzae. Rapidly progressive and intractable shock with disseminated intravascular coagulation are prevented only by early appropriate antimicrobial therapy. We report a case of rapidly fatal pneumococcal septic shock in a patient with ulcerative colitis.
ISSN:	1058-4838 1537-6591
DOI:	10.1093/clinids/22.5.860