USMLE Forum Archives - USMLE Step 1 - micro
micro
bingousmle - 08-02-08 15:56
A 19-year-old woman comes to the physician requesting an oral contraceptive. She is sexually active with one partner. She underwent a splenectomy 3 years ago after sustaining blunt trauma to the abdomen. Her vital signs are within normal limits. Physical exam shows a well-healed, midline abdominal scar. Labs show the presence of Howell-Jolly bodies in the erythrocytes. The patient is at greatest risk for mortality if she develops an infection with which of the following organisms?
A) Candida albicans
B) Moraxella catarrhalis
C) Mycoplasma pneumonia
D) Neisseria gonorrhea
E) Streptococcus pneumonia
bingousmle - 08-02-08 15:56
A 19-year-old woman comes to the physician requesting an oral contraceptive. She is sexually active with one partner. She underwent a splenectomy 3 years ago after sustaining blunt trauma to the abdomen. Her vital signs are within normal limits. Physical exam shows a well-healed, midline abdominal scar. Labs show the presence of Howell-Jolly bodies in the erythrocytes. The patient is at greatest risk for mortality if she develops an infection with which of the following organisms?
A) Candida albicans
B) Moraxella catarrhalis
C) Mycoplasma pneumonia
D) Neisseria gonorrhea
E) Streptococcus pneumonia
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#3
Re: micro mohhaider - 08-03-08 01:20 Other capsulated bacteria that are dangerous to those with splensctomy :
Like H. influenzae,N. meningigtis in addition to stept. pneumonia.
#4
Re: micro TheOne - 08-03-08 19:39 
posted by mohhaider on 08-02-08 16:36
Steptococcus pneumonia as encapsulated bacteria.
Steptococcus pneumonia as encapsulated bacteria.
I agree.
#6
Re: micro babbu5508 - 07-28-10 04:34 An overwhelming post-splenectomy infection (OPSI) is a rare but rapidly fatal infection occurring in individuals following removal of the spleen. The infections are typically characterized by either meningitis or sepsis, and are caused by encapsulated organisms including Streptococcus pneumoniae
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