Recurrent, fatal Hemophilus influenzae sepsis in a splenectomized child on continuous ambulatory peritoneal dialysis (CAPD)

This child, who was on CAPD, had two episodes of Hemophilus influenzae sepsis, the second of which proved fatal. Predisposing factors were prior splenectomy, recent immunosuppression and cytomegalovirus infection. Peritonitis was not present. Nephrologists must consider various risk factors when caring for the increasing number of young children on CAPD, particularly those who are splenectomized.