- 著者
- Kenichiro Yaita Yohei Sakamoto Kazuhiko Nakaharai Yukihiro Yoshimura Natsuo Tachikawa
- 出版者
- 日本プライマリ・ケア連合学会
- 雑誌
- General Medicine (ISSN:13460072)
- 巻号頁・発行日
- vol.15, no.1, pp.68-71, 2014-06-20 (Released:2014-06-27)
- 参考文献数
- 12
- 被引用文献数
- 1 2
A 58-year-old female was admitted due to severe sepsis and multi-organ failure with a fulminant purpuric rash. Meropenem, vancomycin and levofloxacin were administered, although no focus of infection was detected. However, computed tomography revealed a profoundly hypoplastic spleen, and a blood smear detected Howell-Jolly bodies. Blood cultures grew Streptococcus pneumoniae (serotype 22F) three hours after admission. The patient was finally diagnosed as overwhelming pneumococcal sepsis with hyposplenism precipitated by splenic hypoplasia. Clinicians should pay attention to the splenic size and Howell-Jolly bodies in cases of sepsis of unknown origin.
- 著者
- Kenichiro Yaita Kazuhiko Nakaharai Yukihiro Yoshimura Motoharu Hirano
- 出版者
- 一般社団法人 日本内科学会
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- vol.53, no.14, pp.1591-1592, 2014 (Released:2014-07-15)
- 参考文献数
- 2
- 被引用文献数
- 4