Journal
NEW ENGLAND JOURNAL OF MEDICINE
Volume 371, Issue 4, Pages 349-356Publisher
MASSACHUSETTS MEDICAL SOC
DOI: 10.1056/NEJMcp1314291
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Funding
- Dynavax Technologies
- Pfizer
- Sanofi Pasteur
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A 23-year-old man sustained abdominal trauma in a motorcycle accident that required a surgical splenectomy. He received the 23-valent pneumococcal polysaccharide vaccine (PPSV23) after surgery. Six months after his surgery, he calls his primary care provider because he has fever. What is the appropriate management? Are other prophylactic measures available and indicated?
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