Table 1.
Cryptic infection (no obvious focus) |
Short, nonspecific prodrome |
Massive bacteremia with encapsulated organism |
Septic shock with disseminated intravascular coagulation |
Marked virulence: 50% to 70% mortality |
Death ensues in 24 to 48 h |
Overwhelming postsplenectomy infection had been defined as septicemia and/or meningitis, usually fulminant but not necessarily fatal, and occurring at any time after removal of the spleen.