July 1984

Serious Infections in Adults Following Splenectomy for Trauma

Author Affiliations

From the Division of Hematology/Oncology, Veterans Administration Medical Center, Northport, NY (Dr Zarrabi); Department of Medicine, Queens Hospital Center Affiliation of the Long Island Jewish-Hillside Medical Center, Jamaica, NY (Dr Rosner); and Department of Medicine, the Health Sciences Center, State University of New York at Stony Brook (Drs Zarrabi and Rosner).

Arch Intern Med. 1984;144(7):1421-1424. doi:10.1001/archinte.1984.00350190109020

• Postsplenectomy sepsis in children is a well-recognized hazard. Few reports discuss the risk of sepsis in the asplenic adult. Case reports of 47 adults with serious infections following splenectomy for trauma were examined. We conclude that fulminant sepsis after splenectomy for trauma in adults is Indeed a potential risk and that all such patients should receive penicillin prophylaxis and pneumococcal vaccine.

(Arch Intern Med 1984;144:1421-1424)