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Med J Aust. 1991 Nov 18;155(10):713-4.

Severe meningococcal septicaemia associated with splenic rupture.

Author information

1
Intensive Care Unit, Adelaide Children's Hospital, North Adelaide, SA.

Abstract

OBJECTIVE:

To present the first report of ruptured spleen associated with meningococcal septicaemia.

CLINICAL FEATURES:

A 13-year-old girl presented with an acute abdomen and clinical signs of meningococcal septicaemia. Features of her illness placed her in a high mortality group.

INTERVENTION AND OUTCOME:

She required cardiovascular and respiratory support in the Intensive Care Unit. Failure to initially identify the organism led to percutaneous fine-needle aspiration of fluid in the lesser sac. A laparotomy revealed free intraperitoneal blood and a ruptured spleen. During the course of her illness she was given penicillin and methylprednisolone, and required haemodialysis. She made a complete recovery.

CONCLUSION:

Ruptured spleen does occur with severe meningococcaemia, and may complicate management.

PMID:
1943903
[Indexed for MEDLINE]

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