Managing patients with an absent or dysfunctional spleen

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7042.1359c (Published 25 May 1996) Cite this as: BMJ 1996;312:1359

Guidelines should highlight risk of salmonella infection in sickle cell disease

  1. M R Workman,
  2. J Philpott-Howard,
  3. A J Bellingham
  1. Senior registrar in microbiology Senior lecturer in microbiology Professor haematology King's College School of Medicine and Dentistry, London SE5 9PJ

    EDITOR,—The guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen recognise sickle cell disease as being an important cause of a dysfunctional spleen.1 We are surprised, however, that they do not mention the infection that occurs most frequently in patients with this disease.

    In districts such as ours, which serves a large population …

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