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Patients with coeliac disease and hyposplenism are at risk of overwhelming and rapidly fatal pneumococcal sepsis, highlighting the need for prophylaxis and early antibiotic treatment.
A case of overwhelming pneumococcal septicaemia in a 34 year old man with coeliac disease and hyposplenism is reported. This previously unrecorded complication was fatal despite prompt treatment.
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Dónal O’Donoghue (1986) studied this question.
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