PEDIATRICS Vol. 28 No. 1 July 1961, pp. 162-163
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Infections in Splenectomized Children

MAXWELL FINLAND M.D.1

1 Thorndike Memorial Laboratory, Boston City Hospital, and Department of Medicine, Harvard Medical School, Boston, Mass.

The Commentary in the May issue (Pediatrics, 27:689, 1961) mentioned that only two cases of serious infections had been recorded following splenectomy for traumatic rupture. Both of those cases were reported by Smith et al. (Amer. J. Med., 92:507, 1956) and were also included in the analysis of Broberger et al. (Acta Paediat., 49:679, 1960), to which reference was made in the Commentary. The older age incidence of the post-traumatic cases, and the absence of underlying systemic disease for which splenectomy is indicated, are usually noted to explain the lower incidence of serious infection in cases where the spleen was removed because of traumatic rupture.