Risk of Pneumococcal meningitis is seen in :: (A) Post splenectomy Patient, (B) Patient undergone neurosurgical intervention, (C) Patient following cardiac surgery, (D) Patient with hypoplasia of lung
Answer is A. Ans. is 'a' i.e. Post Splenectomy Patient In table 138-1 p 884 a list of conditions commonly predisposing to pneumococcal infection is given.The list is very long and its not possible to memorize it so I will pick out some important ones for you.Conditions predisposing to pneumococcal infectionsLymphomaMultiple myeloma*Common variable hypogammaglobulinemiaCLLSickle cell disease,* hypersplenia, Asplenia, Splenectomy*Renal insufficiency*Diabetes mellitus*Glucocorticoids administration*Infection with HIVCirrhosis*