2016 Volume 7 Issue 2 Pages 138-140
Fulminant pneumococcal sepsis is a critical condition with a higher mortality rate than that in asplenic cases. The patient was a two-year-old girl with asplenia syndrome who had undergone a Glenn operation. She had fever, loss of consciousness and atrial-ventricular block, and she was admitted to the ICU with a diagnosis of pneumococcal meningitis and sepsis. Disseminated intravascular coagulation and acute kidney injury were obvious, and exchange transfusion and continuous hemodiafiltration were initiated. Pneumococcal antigen with filtrate was negative on the 4th and 5th days, and we therefore changed to continuous hemodialysis, which was discontinued on the 11th day. She was transferred to the general ward on the 18th day without any neurologic problems. We report that early exchange transfusion and continuous hemodiafiltration were effective for pneumococcal infection with a successful outcome.
