11 results
Recommended Vaccinations for Asplenic Patients - Before and After Splenectomy

#Management #Asplenic #Asplenia #Vaccinations #PrimaryCare #Vaccines #Splenectomy
Recommended Vaccinations ... for Asplenic Patients ... Splenectomy #Management ... #Asplenic #Asplenia ... #Vaccinations #
Asplenia Management
 • Key Pathogens: H. influenzae type b, Neisseria meningitidis, Capnocytophaga spp, Malaria, Babesia
 •
Asplenia Management ... meningitidis, Capnocytophaga ... Malaria, Babesia • Vaccinations ... febrilepodcast #asplenic ... #Asplenia #Management
Important Vaccinations for Asplenic Patients - Organisms and Vaccines
 • S.pneumoniae - PCV13 → PPSV23 (8
Important Vaccinations ... for Asplenic Patients ... #Vaccines #Asplenic ... #asplenia #Patients ... #management
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
Capnocytophaga ... Pathogen: Capnocytophaga ... • Asplenia (greatest ... Prophylaxis (Dog bite in asplenic ... infectiousdiseases #diagnosis #management
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
Capnocytophaga Canimorsus ... dogs & latter can cause ... gram-negative bacillus cause ... underlying r.f as asplenia ... patients who are asplenic
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
rigors, diarrhea, nausea ... Vibrio, aeromonas, Capnocytophaga ... in setting of asplenia ... fulminans secondary to Capnocytophaga ... BIDMC_IDFellows #Capnocytophaga
Asplenia + Infection - Recommendations for Patients with Asplenia
 • Emphasize and teach about the increased
Asplenia + Infection ... Patients with Asplenia ... febrilepodcast] #Asplenia ... #Information #Vaccinations ... #Counseling #Management
Capnocytophaga
GNR with long fusiform shape.  Fastidious facultative anaerobe that grows slowly and needs enriched agar
C.
Capnocytophaga GNR ... = most common cause ... immunocompromised host, asplenia ... InfectiousDiseases #Capnocytophaga
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
positive in 90% of IE cases ... emboli: Cerebral > Splenic ... Septic Emboli Cause ... Treat underlying cause ... Endocarditis #diagnosis #management
Beaver Tail Liver - Enlarged Left Lobe of the Liver on POCUS
LUQ trauma case.  Rollover
of the Liver on POCUS ... LUQ trauma case ... Subcapsular hematoma/splenic ... confuse this will a splenic ... Enlarged #LeftLobe #POCUS