Which of the following patient group has the highest risk of pneumococcal sepsis?
An 18 year-old man with fever status post-surgical splenectomy after sustaining a motor vehicle accident
A 21 year-old sickle cell female with low grade temperature of 99.1 and maxillary sinusitis
A 15 year-old boy diagnosed with splenic lymphoma
A 30 year-old female with systemic lupus erythematosus and right lower extremity cellulitis
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