{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:31:24Z","timestamp":1761708684385},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2011,6,8]],"date-time":"2011-06-08T00:00:00Z","timestamp":1307491200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Infect Dis"],"published-print":{"date-parts":[[2011,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>\n              <jats:italic>Mycoplasma<\/jats:italic>\n              <jats:italic>pneumoniae<\/jats:italic> infection is usually self-limited, but some fulminant cases are fatal, even when occurring in previously healthy individuals. It can also be the cause of overwhelming postsplenectomy infection (OPSI).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>We report a case of OPSI in a 41-year-old woman with hypersplenism associated with hepatitis B cirrhosis. We detected a significant <jats:italic>Mycoplasma pneumoniae<\/jats:italic> agglutination titer, but no evidence of infection with <jats:italic>Chlamydia pneumoniae, Legionnella spp<\/jats:italic>., or any other bacterial or fungal pathogens. She eventually died despite aggressive therapy.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>\n              <jats:italic>M. pneumoniae<\/jats:italic> could be an underestimated cause of OPSI, and should be suspected in fulminant infectious cases in asplenic patients.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1471-2334-11-162","type":"journal-article","created":{"date-parts":[[2011,6,8]],"date-time":"2011-06-08T18:51:25Z","timestamp":1307559085000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Overwhelming postsplenectomy infection due to Mycoplasma pneumoniaein an asplenic cirrhotic patient: Case report"],"prefix":"10.1186","volume":"11","author":[{"given":"Feng","family":"Xu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao-Liu","family":"Dai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xing-Mao","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peng","family":"Chu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2011,6,8]]},"reference":[{"key":"1478_CR1","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1046\/j.1198-743x.2001.00355.x","volume":"7","author":"RN Davidson","year":"2001","unstructured":"Davidson RN, Wall RA: Prevention and management of infections in patients without a spleen. 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