Post-splenectomy Medical Question

Post-splenectomy Medical Question:

A 38 year old male is brought to the ED with because of altered mental status. His wife reports that he has had fever and cough for the past 2 days. His past medical history is significant for splenectomy two years ago due to abdominal trauma and left sided nephrectomy. On physical examination his temperature is 102.2 F, blood pressure 85/50 mmHg, pulse is 111/min, and his respirations are 34/min. Gram-positive cocci are cultured from his blood. Which of the following is most likely impaired in this patient?

A) Intracellular killing
B) Number of circulating lymphocytes
C) Chemotaxis
D) Phagocytosis
E) Cell-mediated immunity

 

 

 

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  1. Yousef

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