Overwhelming postsplenectomy infection due to Mycoplasma pneumoniae in an asplenic cirrhotic patient: Case report
2011

Severe Infection After Spleen Removal Due to Mycoplasma pneumoniae

Sample size: 1 publication Evidence: low

Author Information

Author(s): Xu Feng, Dai Chao-Liu, Wu Xing-Mao, Chu Peng

Primary Institution: Shengjing Hospital, China Medical University

Hypothesis

Could Mycoplasma pneumoniae be a significant cause of overwhelming postsplenectomy infection (OPSI) in asplenic patients?

Conclusion

Mycoplasma pneumoniae may be an underestimated cause of OPSI and should be considered in severe infections in asplenic patients.

Supporting Evidence

  • The patient developed OPSI only 21 days after splenectomy.
  • Significant agglutination titers of 1:640 for Mycoplasma pneumoniae were observed.
  • Despite aggressive treatment, the patient died shortly after discharge.

Takeaway

A woman who had her spleen removed got very sick from a germ called Mycoplasma pneumoniae, which is usually not dangerous but can be deadly for people without a spleen.

Methodology

Case report detailing the clinical presentation, treatment, and outcomes of a single patient.

Limitations

Only one case is reported, limiting generalizability.

Participant Demographics

41-year-old woman with hepatitis B cirrhosis.

Digital Object Identifier (DOI)

10.1186/1471-2334-11-162

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