Postsplenectomy sepsis caused by group B streptococcus (S. agalactiae) in an adult patient with diabetes mellitus
| Autor: | H. R. Fish, J. K. S. Chia, K. M. M. Shakir |
|---|---|
| Rok vydání: | 1985 |
| Předmět: |
Adult
Male medicine.medical_specialty Endocrinology Diabetes and Metabolism medicine.medical_treatment Splenectomy Group B Streptococcal Infection medicine.disease_cause Group B Streptococcus agalactiae Sepsis Postoperative Complications Internal medicine Diabetes mellitus Streptococcal Infections Internal Medicine Medicine Humans Advanced and Specialized Nursing Disseminated intravascular coagulation business.industry Streptococcus medicine.disease Diabetes Mellitus Type 1 Immunology business |
| Zdroj: | Diabetes care. 8(6) |
| ISSN: | 0149-5992 |
| Popis: | Overwhelming postsplenectomy infection (OPSI) due to group B streptococcus developed in an insulin-dependent diabetic patient. The illness began with nonspecific symptoms, followed rapidly by hypotension and disseminated intravascular coagulation. The early institution of appropriate antibiotics, fluid replacement and pressor agents resulted in a favorable clinical outcome. The association of group B streptococcal infection and diabetes mellitus is discussed. The defects in normal host defenses associated with asplenic state and diabetes mellitus are further emphasized. This is the first case report linking the association of OPSI, diabetes mellitus and group B streptococcal septicemia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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