This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Marvin M. Adner, MD; Richard E. Kauff, MD; Joseph D. Sherman, MD, PhD

JAMA. 1970;213(10):1681-1683.

Abstract
Two years after splenectomy for idiopathic thrombocytopenic purpura, a 5-year-old child developed pneumococcal septicemia and meningitis, purpura fulminans, and disseminated intravascular coagulation which was treated successfully with heparin sodium and antibiotics. It is probable that the removal of the spleen predisposed the patient to the development of the infection which, in turn, initiated the coagulopathy resulting in purpura fulminans.

Author Affiliations
From the departments of hematology (Drs. Adner and Sherman) and pediatrics (Dr. Kauff), Framingham (Mass) Union Hospital, and the Department of Medicine, Boston University Medical Center.

Footnotes
Deceased.

Reprint requests to 25 Evergreen St, Framingham, Mass 01701 (Dr. Adner).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?