ALAN L. BISNO, M.D.; JOHN C. FREEMAN, M.D.
BISNO AL, FREEMAN JC. The Syndrome of Asplenia, Pneumococcal Sepsis, and Disseminated Intravascular Coagulation. Ann Intern Med. 1970;72:389-393. doi: 10.7326/0003-4819-72-3-389
Download citation file:
Published: Ann Intern Med. 1970;72(3):389-393.
Disseminated intravascular coagulation with Waterhouse-Friderichsen syndrome occurred during the course of fatal pneumococcal sepsis in a previously healthy woman. At postmortem examination the patient was found to have an atrophic spleen weighing 29 g. There have been four previously reported instances of fatal pneumococcal infection in which disseminated intravascular coagulation was documented by coagulation studies or pathologic findings. Waterhouse-Friderichsen syndrome was observed in each case. Three of the patients had undergone splenectomy, and the fourth had splenic atrophy demonstrated at autopsy. A number of additional reports of pneumococcal sepsis with Waterhouse-Friderichsen syndrome (but without documented disseminated intravascular coagulation) have been published. Almost all such patients have had atrophic spleens or no spleens. Possible pathogenetic mechanisms are discussed.
Learn more about subscription options.
Register Now for a free account.
Coagulopathies, Hematology/Oncology, Infectious Disease, Multi-Organ Failure and Sepsis, Pulmonary/Critical Care.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only