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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

versão On-line ISSN 2312-3893


PICOITA, Fabricio et al. Postsplenectomy sepsis syndrome. Rev. virtual Soc. Parag. Med. Int. [online]. 2020, vol.7, n.2, pp.109-118. ISSN 2312-3893.


Post-splenectomy sepsis syndrome defines all symptoms of sepsis, severe sepsis, severe pneumonia, and meningitis secondary to encapsulated bacteria, viruses, parasites, protozoa, in patients with a history of asplenia or hyposplenia. The case of a 55-year-old male patient, with a history of splenectomy performed 30 years ago without subsequent immunization, is presented. The patient attends a private institution in the city of Quito, Ecuador for care after presenting petechiae for several months at the skin level without apparent cause. Suddenly and after food intake, he presented and developed a major gastrointestinal syndrome that led to his admission into the Emergency Department and later to the Intensive Care Unit. After his study, the patient is classified under the picture of post-splenectomy sepsis syndrome. Splenectomy is a frequent surgical procedure in the country and is caused by various causes, including severe abdominal trauma. The case presented and developed on this occasion is a clear reflection of the misinformation and lack of adherence to follow-up that all patients with asplenia and hyposplenia should have. This pathology has a high mortality rate in the first hours and can cause severe morbidity or disability if the necessary support is not provided.

Palavras-chave : sepsis; splenectomy; Streptococcus pneumoniae.

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