Volume 24, Issue 4 (October 1979)

    Sudden Death and Sepsis After Splenectomy

    (Received 26 February 1979; accepted 2 April 1979)

    Published Online: October


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    There have been a number of case reports dealing with pneumococcal infections after splenectomy [1,2]. Early reports emphasized that fatal infections occurred in patients with a basic underlying serious disease process that involved primarily the reticuloendothelial system such as in diffuse cancer or lymphoma, histiocytosis, sickle cell anemia, and extensive hemosiderosis [3]. It was generally believed that splenectomy done for trauma imparted no greater risk to infection than a simple appendectomy [4], Since that time, follow-up studies have shown that asplenic patients are at risk from overwhelming sepsis regardless of the reason for the removal of the spleen [5].

    Author Information:

    Reay, DT
    Chief medical examiner, King County, Seattle, Wash

    Nakonechny, D
    Medical examiner, King County, Seattle, Wash

    Stock #: JFS10903J

    ISSN: 0022-1198

    DOI: 10.1520/JFS10903J

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    Title Sudden Death and Sepsis After Splenectomy
    Symposium , 0000-00-00
    Committee E30