Abstract 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) References 1. Hesselvik JF, BlombackM, BrodinB, Mailer R. Coagulation, fibrinolysis and kallikrein systems in sepsis: relation to outcome . Crit Care Med. 1989;17:724-733.Crossref 2. Harch JM, Radin RD, Yellin AE, Donovan AJ. Pylethrombosis: serendipitous radiologic diagnosis . Arch Surg. 1987;122:1116-1119.Crossref 3. Boughton BJ, Simpson A, Chandler S. Functional hyposplenism during pneumococcal infection . Lancet. 1983;1:121-122.Crossref 4. Adams RD, Victor M. Nonviral infections of the nervous system . In: Principles of Neurology. 4th ed. New York, NY: McGraw-Hill International Book Co; 1989.
Archives of Internal Medicine – American Medical Association
Published: May 1, 1991
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