Palacio PH, Hernández RA, Delgado FRI

Language: Spanish
References: 5
Page: 2530-2541
PDF size: 48.17 Kb.

ABSTRACT

We report a 32 years old male patient, splenectomized at the age of five because of hereditary microspherocytosis. He developed a sudden onset of fever, accompanied by shock, disseminated intravascular coagulation, oliguric acute renal failure, palms and plants microthrombosis lesions, in addition to acute respiratory failure that required mechanical ventilation and inotropic support. Life support therapeutic measures were employed and the patient was fully recovered. Despite therapeutic advances, fulminant infection in these patients continues to cause high mortality, ranging between 40 and 90 %, depending on the underlying disease. Septic shock may occur up to 3 % of patients with any infection with a history of splenectomy and spherocytosis as has been reported. Due to the uncommon of the entity a review and the case is reported.

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