Purpura fulminans due to Streptococcus pneumoniae sepsis following gastric bypass.

Abstract:

:An older female underwent bariatric surgery which was followed by a significant weight loss and diarrhea, from which C. difficile was isolated just before her hospitalization. Less than 48 hours after admission, she became febrile, developed deep venous thrombosis of the leg and a pulmonary embolus. Blood cultures grew out Streptococcus pneumoniae and the patient developed purpura fulminans. There was convincing laboratory evidence for disseminated intravascular coagulation and a marked depletion of proteins C and S as well as antithrombin. Treatment with ceftriaxone and drotrecogin alfa together with parenteral nutrition led to disappearance of the pathogen and ultimate normalization of the anticoagulant factors. We believe that malabsorption of vitamin K dependent proteins C, S and antithrombin due to bariatric surgery predisposed the patient to purpura fulminans and disseminated intravascular coagulation.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Cone LA,B Waterbor R,Sofonio MV

doi

10.1381/096089204323093507

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

690-4

issue

5

eissn

0960-8923

issn

1708-0428

journal_volume

14

pub_type

杂志文章
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    authors: Vassallo C,Negri L,Rovati P,Della Valle A,Tata S,Berbiglia G,Pessina A,Ramaioli F,Dono C,Fariseo M

    更新日期:2004-06-01 00:00:00

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    authors: Chowbey P,Baijal M,Kantharia NS,Khullar R,Sharma A,Soni V

    更新日期:2016-09-01 00:00:00

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    authors: Panko N,Dunford G,Lutfi R

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  • DRG, costs and reimbursement following Roux-en-Y gastric bypass: an economic appraisal.

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    authors: Angus LD,Cottam DR,Gorecki PJ,Mourello R,Ortega RE,Adamski J

    更新日期:2003-08-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2014-06-01 00:00:00

  • A prospective assessment of psychosocial factors among bariatric versus non-bariatric surgery candidates.

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    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0287-8

    authors: Rutledge T,Adler S,Friedman R

    更新日期:2011-10-01 00:00:00

  • Gastric Band Removal in Revisional Bariatric Surgery, One-Step Versus Two-Step: a Systematic Review and Meta-analysis.

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    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析,评审

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    更新日期:2016-04-01 00:00:00

  • CoViD-19 Pandemic and Bariatric Surgery in Argentina.

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    pub_type: 杂志文章

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  • The Effect of the Intra-gastric Balloon on Gastric Emptying and the DeMeester Score.

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  • Bariatric analysis and reporting outcome system (BAROS) applied to laparoscopic gastric banding patients.

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  • Understanding the Bariatric Patient Perspective in the National Patient-Centered Clinical Research Network (PCORnet) Bariatric Study.

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    doi:10.1007/s11695-020-04404-8

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  • Laparoscopic adjustable gastric banding prior to renal transplantation.

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    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892053723349

    authors: Newcombe V,Blanch A,Slater GH,Szold A,Fielding GA

    更新日期:2005-04-01 00:00:00

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    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

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    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9291-z

    authors: Zainabadi K,Ramanathan R

    更新日期:2007-12-01 00:00:00

  • Sensitivity and Specificity of 50% Excess Weight Loss (50%EWL) and Twelve Other Bariatric Criteria for Weight Loss Success.

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    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3173-4

    authors: van de Laar AW,van Rijswijk AS,Kakar H,Bruin SC

    更新日期:2018-08-01 00:00:00

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    journal_title:Obesity surgery

    pub_type: 杂志文章

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    authors: Seyfried F,Bueter M,Spliethoff K,Miras AD,Abegg K,Lutz TA,le Roux CW

    更新日期:2014-11-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2017-03-01 00:00:00

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    abstract::Surgery is the only therapeutic modality that has shown lasting results in the treatment of morbid obesity. Ability to lose weight by voluntary dieting has been associated with unsatisfactory weight loss after gastroplasty. This report examines the effect of preoperative inter-maxillary fixation (IMF) on weight reduct...

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    更新日期:2012-04-01 00:00:00

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