| Autor: |
P H, Rees, P A, Kager, J M, Kyambi, E N, Ayim, K M, Bhatt, J K, Schattenkerk |
| Rok vydání: |
1984 |
| Předmět: |
|
| Zdroj: |
Tropical and geographical medicine. 36(3) |
| ISSN: |
0041-3232 |
| Popis: |
At the beginning of the century, splenectomy was used in the treatment of kala-azar, but now is rarely needed, the major indication being for drug resistant kala-azar. Inadvertent splenectomy prior to the diagnosis of kala-azar continues to occur, probably because of a reluctance to perform splenic aspiration in the investigation of splenomegaly. Five Kenyan children underwent splenectomy for drug resistant kala-azar. All were immediately improved, but one died of overwhelming post splenectomy infection (OPSI) two months later and another of a malignant lymphoma seven months after surgery. The other three patients appear to be cured. Splenectomy was considered in a sixth child with kala-azar because of a Salmonella abscess in the spleen, but the abscess ruptured catastrophically before surgery could be arranged. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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