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Vaccination in asplenia — ABIM Board MCQ

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EasyGeneral Internal MedicineVaccination in aspleniaABIM Board

A 24-year-old man with anatomic asplenia from trauma establishes care. He received routine childhood vaccines but no postsplenectomy vaccines. He feels well. Which of the following would you recommend?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Pneumococcal, meningococcal ACWY and B, Haemophilus influenzae type b, and annual influenza vaccination

Adults with anatomic or functional asplenia need vaccination against encapsulated organisms, including pneumococcus, meningococcus, and Hib, plus annual influenza vaccination. Education about urgent evaluation for fever is also important.

Reference: CDC Adult Immunization Schedule