Fever and asplenia: a dangerous association
(2017) BMJ Case Reports — Vol. 2017, p. 220513 [1-1] (2017)
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- (en) A 77-year-old splenectomised woman presented with temperatures reaching 38.5°C in the last 24 hours. The clinical presentation was non-specific and blood tests came back normal: a diagnosis of acute gastroenteritis was made. The patient’s clinical state then deteriorated rapidly; she developed septic shock, acute renal failure, disseminated intravascular coagulation and purpura fulminans with peripheral necrosis of toes and fingers (figure 1 A,B), as complications of a pneumococcaemia. Following appropriate antibiotic therapy and supportive care, the patient recovered but had to undergo transmetatarsal and finger amputations(figure 1 C,D).
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Yildiz, H., & Yombi, J. C. (2017). Fever and asplenia: a dangerous association. BMJ Case Reports, 2017, 220513 [1-1]. https://doi.org/10.1136/bcr-2017-220513 (Original work published 2017)