Splenectomy

Overwhelming postsplenectomy infection

C. - F. Sheng, Liu, B. - Y., Zhang, H. - M., and Zheng, X., Overwhelming postsplenectomy infection, vol. 14. pp. 2702-2706, 2015.

This report aims to deepen the understanding of the pathogenesis, diagnosis, clinical characteristics, and treatment of overwhelming postsplenectomy infection (OPSI). A patient treated at Taihe Hospital for tuberculous OPSI is described, and relevant literature is reviewed. Broad-spectrum antibiotics, suppression of the systemic inflammatory reaction, and anti-shock measures were the keys to the successful treatment of this condition. OPSI is a life-threatening condition and has a high mortality rate.

Serious pulmonary infection in a splenectomized patient with adult type 1 Gaucher disease

Y. Zhang, Mao, Y. F., and Du, J. M., Serious pulmonary infection in a splenectomized patient with adult type 1 Gaucher disease, vol. 14. pp. 3338-3344, 2015.

A 49-year-old man with a history of Gaucher disease type 1, resulting in serious splenomegaly and eating disorder, was referred to our department and underwent a splenectomy under general anesthesia. Gaucher disease is very rare, and its first signs are unexplained splenomegaly and hypersplenism. On preoperative examination, the patient’s platelet count was slightly low, and his other test results were normal. Surprisingly, on the first postoperative day, the patient developed a lung infection.

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