(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 . It was generally believed that splenectomy done for trauma imparted no greater risk to infection than a simple appendectomy , 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 .
Chief medical examiner, King County, Seattle, Wash
Medical examiner, King County, Seattle, Wash
Stock #: JFS10903J