title: [Spontaneous splenic rupture in the course of infectious mononucleosis].
abstract: Spontaneous splenic rupture (SSR) in the course of infectious mononucleosis (IM) is a rare but potentially fatal complication. Mortality rate is relatively high, therefore emergency splenectomy is a life-saving intervention. In case of undergoing urgent operation there is no possibility to initiate proper prophylaxis of overwhelming infection. The humoral and cellular immunologic response impairment is a reason for life-threatening complications of splenectomised person. Asplenic children should receive infection prophylaxis immediately post splenectomy. We report two cases of splenic rupture inpatients with IM. The prevention of infection was initiated in both children. The mainstays of prophylaxis are: immunization, chemoprophylaxis and education. Complex information concerning asplenia-related subjects should be provided for patients and their parents.
authors.affiliation: Klinika Pediatrii, Hematologii, Onkologii i Endokrynologii, Akademia Medyczna, ul. Debinki 7, 80-952 Gdańsk, Poland.
authors.forename: Ninela
authors.initials: N
authors.lastname: Irga
authors.forename: Marta
authors.initials: M
authors.lastname: Mierzejewska
authors.forename: Anna
authors.initials: A
authors.lastname: Balcerska
mesh_terms: D015746:Abdominal Pain / Q000821:virology; D000293:Adolescent; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications*; D007297:Inpatients; D008297:Male; D012422:Rupture, Spontaneous; D013156:Splenectomy; D013161:Splenic Rupture / Q000601:surgery* / Q000821:virology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome