What are the complications of splenectomy for the treatment of immune thrombocytopenic purpura (ITP)?

Updated: Apr 22, 2018
  • Author: Craig M Kessler, MD, MACP; Chief Editor: Srikanth Nagalla, MBBS, MS, FACP  more...
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Answer

Inform patients with immune thrombocytopenic purpura (ITP) who have undergone splenectomy that their natural defense against acute bacterial infection is decreased.

Any fever, particularly when accompanied by signs or symptoms that suggest an illness more serious than the common cold, requires prompt medical attention and, possibly, early antibiotic treatment. Children with a fever (temperature of 38.8 º C [102 º F] or higher) should receive IV antibiotics until bacterial infection is excluded.


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