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Published on: February 23, 2014
[Fulminant pneumococcal sepsis in a 13 months old child with congenital asplenia]
H D Hummler1, F Pohlandt, A Essig
1Sektion Neonatologie und pädiatrische Intensivmedizin, Universitätsklinik für Kinder- und Jugendmedizin, Universitätsklinikum Ulm. helmut.hummler@medizin.uni-ulm.de
Insights
Asplenia, the absence of a spleen, increases the risk of severe bacterial infections. Vaccinating infants with pneumococcal conjugate vaccine can prevent fatal pneumococcal sepsis in asplenic children.
Area of Science:
- Pediatrics
- Infectious Diseases
- Immunology
Background:
- Asplenia, congenital or acquired, is a known risk factor for severe infections.
- Encapsulated bacteria, such as Streptococcus pneumoniae, pose a significant threat to asplenic individuals.
- Fulminant invasive infections can lead to rapid deterioration and death.
Observation:
- A 13-month-old infant with undiagnosed congenital familial asplenia was observed.
- The infant presented with and succumbed to pneumococcal sepsis.
- This case highlights the potential severity of infections in individuals with asplenia.
Findings:
- Congenital familial asplenia can present without prior diagnosis.
- Pneumococcal sepsis can be rapidly fatal in asplenic infants.
- Asplenia significantly elevates the mortality risk from invasive bacterial infections.
Implications:
- Routine vaccination with pneumococcal conjugate vaccine is crucial for all infants, especially those with asplenia.
- Early diagnosis and management of asplenia may improve outcomes.
- Public health strategies should emphasize vaccination to prevent severe outcomes in vulnerable populations.
Abstract:
Asplenia may predispose to fulminant invasive infections caused by encapsulated bacteria. We observed a 13 months old child with (so far unknown) congenital familiar asplenia, who died from pneumococcal sepsis. General vaccination of all infants with pneumococcal conjugate vaccine may prevent this disease, which is associated with a high rate of mortality in infants with asplenia.
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