A Case of Spontaneous Splenic Rupture in Vivax Malaria.
- Author:
Dong Hyeon SHIN
1
;
Kyu Sik KIM
;
Yong Joo KIM
;
Sang Hyun LEE
;
Sei Jong KIM
;
Chol Kyoon CHO
;
Jong Hee SHIN
;
Dong Wook RYANG
;
Jae Hyuk LEE
Author Information
1. Department of Internal Medicine, Chonnam University Medical School, Kwangju, Korea.
- Publication Type:Case Report
- Keywords:
Splenic rupture;
Vivax malaria
- MeSH:
Abdominal Pain;
Adult;
Fever;
Hospitalization;
Humans;
Hydroxychloroquine;
Korea;
Malaria;
Malaria, Vivax*;
Military Personnel;
Plasmodium vivax;
Splenectomy;
Splenic Rupture*;
Vital Signs
- From:Korean Journal of Infectious Diseases
1999;31(2):176-179
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous splenic rupture develops in many diseases, among which malaria is most common. Though spontaneous splenic rupture is a well-known fatal complication of vivax malaria, it has not been reported during the recent resurgence of malaria in Korea. As cases of vivax malaria have been increasing rapidly in Korea since 1993, splenic rupture should be reminded as a complication of malaria. A 25-year old man, who had been serving as a soldier near the Demilitary Zone, had admitted to a local clinic because of fever of 7 days' duration and deve-loped abdominal pain 5 days after hospitalization. Computed tomography showed splenic rupture, so he was transferred to our hospital. At admission, peripheral blood smear showed typical features of Plasmodium vivax. Because his vital signs were stable, he was managed initially with medical care, including hydroxychloroquine. However, on the third hospital day, his clinical condition deteriorated, necessitating splenectomy.
