Pneumococcal Sepsis Complicated by Splenic Abscesses and Purpura Fulminans in a 15-Month-Old Child
Streptococcus pneumoniae is an invasive organism that causes a wide range of common diseases, including sinusitis, acute otitis media, and pneumonia. Splenic abscesses and purpura fulminans (PF) are rare complications of pneumococcal disease. Splenic abscesses caused by S pneumoniae have only been r...
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doaj-11ad4d9462134f178c165c4f93f2f38c2020-11-25T03:44:06ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962016-02-01410.1177/232470961663639810.1177_2324709616636398Pneumococcal Sepsis Complicated by Splenic Abscesses and Purpura Fulminans in a 15-Month-Old ChildScott Pangonis MD0Pisespong Patamasucon MD1Ellen Fitzpatrick MD2University of Nevada School of Medicine, Las Vegas, NV, USAUniversity of Nevada School of Medicine, Las Vegas, NV, USASunrise Children’s Hospital, Las Vegas, NV, USAStreptococcus pneumoniae is an invasive organism that causes a wide range of common diseases, including sinusitis, acute otitis media, and pneumonia. Splenic abscesses and purpura fulminans (PF) are rare complications of pneumococcal disease. Splenic abscesses caused by S pneumoniae have only been reported in the adult literature. PF has been described in the pediatric population as a rare complication in patients with invasive pneumococcal disease (IPD) with and without underlying immunological disorders such as asplenia. Here, we report a patient with IPD complicated by splenic abscesses and PF. Our patient initially presented with bacteremia, septic shock, and disseminated intravascular coagulation. She subsequently developed PF and splenic abscesses. She survived her illness after receiving a total of 8 weeks of antibiotic therapy. This case highlights 2 rare complications of IPD and demonstrates the need to keep pneumococcal disease in the differential diagnosis even in children whose vaccination status is up to date.https://doi.org/10.1177/2324709616636398 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Scott Pangonis MD Pisespong Patamasucon MD Ellen Fitzpatrick MD |
spellingShingle |
Scott Pangonis MD Pisespong Patamasucon MD Ellen Fitzpatrick MD Pneumococcal Sepsis Complicated by Splenic Abscesses and Purpura Fulminans in a 15-Month-Old Child Journal of Investigative Medicine High Impact Case Reports |
author_facet |
Scott Pangonis MD Pisespong Patamasucon MD Ellen Fitzpatrick MD |
author_sort |
Scott Pangonis MD |
title |
Pneumococcal Sepsis Complicated by Splenic Abscesses and Purpura Fulminans in a 15-Month-Old Child |
title_short |
Pneumococcal Sepsis Complicated by Splenic Abscesses and Purpura Fulminans in a 15-Month-Old Child |
title_full |
Pneumococcal Sepsis Complicated by Splenic Abscesses and Purpura Fulminans in a 15-Month-Old Child |
title_fullStr |
Pneumococcal Sepsis Complicated by Splenic Abscesses and Purpura Fulminans in a 15-Month-Old Child |
title_full_unstemmed |
Pneumococcal Sepsis Complicated by Splenic Abscesses and Purpura Fulminans in a 15-Month-Old Child |
title_sort |
pneumococcal sepsis complicated by splenic abscesses and purpura fulminans in a 15-month-old child |
publisher |
SAGE Publishing |
series |
Journal of Investigative Medicine High Impact Case Reports |
issn |
2324-7096 |
publishDate |
2016-02-01 |
description |
Streptococcus pneumoniae is an invasive organism that causes a wide range of common diseases, including sinusitis, acute otitis media, and pneumonia. Splenic abscesses and purpura fulminans (PF) are rare complications of pneumococcal disease. Splenic abscesses caused by S pneumoniae have only been reported in the adult literature. PF has been described in the pediatric population as a rare complication in patients with invasive pneumococcal disease (IPD) with and without underlying immunological disorders such as asplenia. Here, we report a patient with IPD complicated by splenic abscesses and PF. Our patient initially presented with bacteremia, septic shock, and disseminated intravascular coagulation. She subsequently developed PF and splenic abscesses. She survived her illness after receiving a total of 8 weeks of antibiotic therapy. This case highlights 2 rare complications of IPD and demonstrates the need to keep pneumococcal disease in the differential diagnosis even in children whose vaccination status is up to date. |
url |
https://doi.org/10.1177/2324709616636398 |
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