• Acta Chir Scand · Jun 1990

    Case Reports

    Fatal pneumococcal bacteremia with disseminated intravascular coagulation and Waterhouse-Friderichsen syndrome in a vaccinated splenectomized adult. Case report.

    • B E Lindblad and L N Lindblad.
    • Second University Clinic of Internal Medicine, Kommunehospitalet, Aarhus, Denmark.
    • Acta Chir Scand. 1990 Jun 1; 156 (6-7): 487-8.

    AbstractFatal pneumococcal bacteremia, disseminated intravascular coagulation and Waterhouse Friderichsen syndrome in a vaccinated, splenectomized adult were caused by serotype 22F (Danish classification), which was not included in the vaccine. Revaccination with a 23-valent pneumococcal vaccine and antibiotic prophylaxis are advocated for patients who have undergone splenectomy.

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