Gestion de l’épisode fébrile chez l’adulte splénectomisé : illustration d’un cas clinique et rappel théorique
(2017) Louvain médical — Vol. 136, n° 7, p. 425-430 (2017)
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- (en) [Management of fever in splenectomized adults: case report and theoretical reminder] In asplenic patients, fever should never be trivialized. The clinical presentation of a severe infection can be unspecific (fever, chills, sore throat, diarrhea, vomiting, and muscle aches). If an antibiotherapy is not given rapidly, the evolution can be abrupt, and patients can develop a disseminated intravascular coagulation. We here describe the case of a 77-year-old splenectomized female patient. Given the unspecific clinical presentation, the diagnosis of acute gastro-enteritis was made; however, the patient developed a severe pneumococcal infection. With this case report, we would like to remind the adequate management of fever in asplenic patients in order to avoid severe, potentially lifethreatening, complications
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Yildiz, H., Wartique, L., & Yombi, J. C. (2017). Gestion de l’épisode fébrile chez l’adulte splénectomisé : illustration d’un cas clinique et rappel théorique. Louvain médical, 136(7), 425-430. https://hdl.handle.net/2078.5/164661 (Original work published 2017)