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Emergency General Surgery in the Immunocompromised Surgical Patient

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Emergency General Surgery

Abstract

Owing to improved understanding of underlying pathophysiology, treatment regimens, and management strategies, immunosuppressed patients have achieved improved survival and outcomes. As their population continues to increase, it is increasingly likely that the general or acute care surgeon will encounter an immunosuppressed patient during the course of their practice in the emergency setting. Managing these patients can be a challenging endeavor due to the atypical symptoms, uncharacteristic physical exam findings, and discordant laboratory findings with which they present. Causes of immune compromise are diverse and multifactorial. Examples like the human immunodeficiency virus and its more advanced form, acquired immunodeficiency syndrome, solid organ transplantation, steroid use, neutropenia, and more each come with its own unique challenges. A thorough understanding of the immunosuppressed patient, from preoperative evaluation to postoperative management, is a requirement for the competent general surgeon to adequately treat their patient and maximize outcomes.

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Conflict of Interest

The authors report no proprietary or commercial interest in any product mentioned or concept discussed in this chapter.

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Authors and Affiliations

  1. General Surgery, Medstar Washington Hospital, Washington, DC, USA

    Shawn Tejiram

  2. Department of General Surgery, Trauma Service, Washington Hospital Center, Washington, DC, USA

    Jack A. Sava

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  1. Shawn Tejiram
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Correspondence to Jack A. Sava .

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Editors and Affiliations

  1. Dell Medical School, University of Texas at Austin, Austin, TX, USA

    Carlos V. R. Brown

  2. Trauma and Surgical Critical Care, University of Southern California, Los Angeles, CA, USA

    Kenji Inaba

  3. Madigan Army Medical Center, Tacoma, WA, USA

    Matthew J. Martin

  4. Brigham and Womens’s Hospital, Harvard Medical School, Boston, MA, USA

    Ali Salim

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Tejiram, S., Sava, J.A. (2019). Emergency General Surgery in the Immunocompromised Surgical Patient. In: Brown, C., Inaba, K., Martin, M., Salim, A. (eds) Emergency General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-96286-3_42

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