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Surgery Consequences and Complications of Splenectomy 860410c0

Which is the commonest Post splenectomy infection :

A
Streptococcus pyogenes
B
Staphylococcus aureus
C
Stseptococcus Pneumonia
D
Pseudomonas aeruginosa
High-Yield Explanation
Ans is 'c' ie. Streptococcus Streptococcus pneumoniae is the most common inf. in post splenectomy patient.Schwartz 9/e writes -"The most common causal organism, accounting for as many as 50 to 90% of all OPSI cases, remains pneumococcus. Meningococcus, H. influenzae type B, and group A streptococci follow in order of frequency. "Other organisms common in post splenectomy patients.Haemophilus influenzae type B Meningococcus Group A streptococci Group B streptococci Enterococcus species Bacteroides species Salmonella species Bartonella speciesCapnocytophaga canimorsus (implicated in OP SI as a sequela of dog bites)BabesiaMalaria

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