Overwhelming post-splenectomy infection in Hodgkin's disease: Pathogenesis and prevention

David S. Shimm*, Rita M. Linggood, Sigmund A. Weitzman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

After staging splenectomy, the risk of overwhelming sepsis in patients with Hodgkin's disease reaches 21% in certain subgroups. Youth, recent splenectomy and vigorous chemoradiotherapy predispose patients to this complication. Because of its explosive course and its known microbiology, post-splenectomy sepsis is better suited to prevention than to treatment. Since immunisation prior to treatment produces good antibody responses, all patients with Hodgkin's disease should probably be vaccinated against encapsulated bacteria at least 10 days prior to the onset of therapy.

Original languageEnglish (US)
Pages (from-to)95-97
Number of pages3
JournalClinical Radiology
Volume34
Issue number1
DOIs
StatePublished - 1983

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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