Autor: |
Deprés-Brummer, P, Buijs, J, van Engelenburg, K.C.A, Oosten, H.R |
Zdroj: |
The Netherlands Journal of Medicine; November 2001, Vol. 59 Issue: 5 p213-217, 5p |
Abstrakt: |
Acute abdominal symptoms are frequently caused by surgical intra-abdominal problems. However, the differential diagnosis also includes several internal diseases. Overwhelming infections may present with acute abdominal signs, particularly in the immunocompromised host. Asplenic patients are highly susceptible to infections with encapsulated bacteria such as Streptococcus pneumoniae, Haemophilus influenzaeand Neisseria meningitidis. Severe infections due to Capnocytophaga canimorsus(DF2), are also common in this group. C. canimorsusis a Gram-negative rod, present as a commensal organism in cat and dog saliva. We describe the atypical presentation of a fatal C. canimorsus-sepsis in a 46-year-old man, who underwent traumatic splenectomy two decades earlier. |
Databáze: |
Supplemental Index |
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