TY - JOUR T1 - Fever and asplenia: a dangerous association JF - BMJ Case Reports DO - 10.1136/bcr-2017-220513 VL - 2017 SP - bcr-2017-220513 AU - Halil Yildiz AU - Jean Cyr Yombi Y1 - 2017/06/28 UR - http://casereports.bmj.com/content/2017/bcr-2017-220513.abstract N2 - A 77-year-old splenectomised woman presented with temperatures reaching 38.5°C in the last 24 hours. The clinical presentation was non-specific and blood tests came back normal: a diagnosis of acute gastroenteritis was made. The patient’s clinical state then deteriorated rapidly; she developed septic shock, acute renal failure, disseminated intravascular coagulation and purpura fulminans with peripheral necrosis of toes and fingers (figure 1 A,B), as complications of a pneumococcaemia. Following appropriate antibiotic therapy and supportive … ER -