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Pneumococcal infection transmission between family members with congenital asplenia: A case report

World Journal of Clinical Cases 2019年第24期7卷 4277-4284页

作者： Jumpei Shibata Kazuhiro Hiramatsu Tuneaki Kenzaka takehito kato Department of General Surgery Toyohashi Municipal Hospital50 Aza Hachiken NishiAotake-ChoAichi 4418570ToyohashiJapan Division of Community Medicine and Career Development Kobe University Graduate School of MedicineHyogo 6520032KobeJapan

BACKGROUND Asplenia,the lack of a spleen,can be congenital and increases susceptibility to severe infections caused by encapsulated bacteria,such as Streptococcus pneumoniae(***).We report two cases of severe pneumococcal infection in two asplenic family members living in the same *** SUMMARY Patient 1,a 38-year-old man with a history of congenital hepatitis B infection and hypospadias,was brought to our emergency department with complaints of cyanosis,cough,and edema of his *** was clinically diagnosed as hyposplenic with overwhelming pneumococcal *** was admitted to the intensive care unit and was administered antibiotics and catecholaminergic therapy but died 2 h after *** 2,a 63-year-old woman with a history of type 2 diabetes,was brought to our emergency department one month after admission of Patient *** was diagnosed as asplenic with overwhelming pneumococcal ***-taking revealed that she was the mother of Patient 1 and the two had lived in the same *** was admitted to the intensive care unit and was rapidly provided antibiotics and catecholaminergic intervention but died one day after *** Pneumococcal bacteremia caused by virulent *** may be transmitted within *** residents of households where individuals with pneumococcal bacteremia are living should be educated about the risk of *** members of patients with congenital asplenia/hyposplenia,all family members should be examined to assess their splenic function.

关键词： Streptococcus pneumoniae Pneumococcal infection Asplenia Hyposplenia Isolated congenital asplenia Septic shock Case report

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