May 1991

Autosplenectomy Complicating Pneumococcal Meningitis in an Adult

Author Affiliations

From the Departments of Neurology (Drs Eshel, Sarova-Pinhas, and Lampl) and Internal Medicine "C" (Dr Jedwab), Edith Wolfson Medical Center, Holon, Israel.

Arch Intern Med. 1991;151(5):998-999. doi:10.1001/archinte.1991.00400050136026

We present a rare complication of pneumococcal meningitis. A 56-year-old female patient with pneumococcal meningitis developed acute hyposplenism. Left-sided hypochondriacal pain accompanied by a marked thrombocytosis developed during the convalescent period. Abdominal radionuclide and computed tomographic scans demonstrated damage to the spleen. The findings were compatible with autosplenectomy.

(Arch Intern Med. 1991;151:998-999)