| Case Reports : A case of overwhelming postsplenectomy infection with purpura fulminans by Streptococcus pneumoniae |
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Ji Youn Yoo, Hae Geun Song, Jung Hwa Lee, Ki Seong Kim, Seung Soon Lee, Hyo Jung Kim, Doo Ryeon Chung |
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한림의대 한강성심병원 내과 |
| 증례 : 비장절제 환자에서 전격자색반이 동반된 폐렴사슬알균 패혈증 1예 |
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유지연, Hae Geun Song, Jung Hwa Lee, Ki Seong Kim, Seung Soon Lee, Hyo Jung Kim, Doo Ryeon Chung |
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| Abstract |
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The most serious problem after splenectomy is the increased risk of life-threatening infections caused by encapsulated bacteria such as Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis. Purpura fulminans, which is commonly associated with meningococcal sepsis, is characterized by disseminated intravascular coagulation and rapidly progressive purpuric skin lesions. Purpura fulminans can also develop in invasive pneumococcal infection especially after splenectomy, however, there has been no report in Korea. We report a case of overwhelming pneumococcal sepsis manifested as purpura fulminans in a splenectomized patient.(Korean J Med 70:725-728, 2006)
Key Words : Purpura fulminans, Streptococcus pneumoniae, Sepsis, Splenectomy, Disseminated intravascular coagulation |
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