dc.contributor.author | Rees, PH | |
dc.contributor.author | Kager, PA | |
dc.contributor.author | Kyambi, JM | |
dc.contributor.author | Ayim, EN | |
dc.contributor.author | Bhatt, KM | |
dc.contributor.author | Schattenkerk, JK | |
dc.date.accessioned | 2013-04-22T11:48:17Z | |
dc.date.available | 2013-04-22T11:48:17Z | |
dc.date.issued | 1984-09 | |
dc.identifier.citation | Tropical Geographic Medicine 1984 Sep;36(3):285-92 | en |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/pubmed/6506208 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/16474 | |
dc.description | Journal article | en |
dc.description.abstract | At the beginning of the century, splenectomy was used in the treatment of kala-azar, but now is rarely needed, the major indication being for drug resistant kala-azar. Inadvertent splenectomy prior to the diagnosis of kala-azar continues to occur, probably because of a reluctance to perform splenic aspiration in the investigation of splenomegaly. Five Kenyan children underwent splenectomy for drug resistant kala-azar. All were immediately improved, but one died of overwhelming post splenectomy infection (OPSI) two months later and another of a malignant lymphoma seven months after surgery. The other three patients appear to be cured. Splenectomy was considered in a sixth child with kala-azar because of a Salmonella abscess in the spleen, but the abscess ruptured catastrophically before surgery could be arranged. | en |
dc.language.iso | en | en |
dc.subject | Splenectomy | en |
dc.subject | Kala-azar. | en |
dc.title | Splenectomy in kala-azar | en |
dc.type | Article | en |
local.publisher | College of Health Sciences, University of Nairobi | en |