Subcapsular Splenic Hemorrhage in Vivax Malaria
10.3347/kjp.2019.57.4.405
- Author:
Jae Hyoung IM
1
;
Moon Hyun CHUNG
;
Areum DUREY
;
Jin Soo LEE
;
Tong Soo KIM
;
Hea Yoon KWON
;
Ji Hyeon BAEK
Author Information
1. Division of Infectious Diseases, Department of Internal Medicine, Inha University School of Medicine, Incheon 22332, Korea. jhbaek@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Plasmodium vivax;
hemorrhage;
malaria;
spleen;
splenic rupture
- MeSH:
Fatal Outcome;
Follow-Up Studies;
Hemorrhage;
Hypotension;
Malaria;
Malaria, Vivax;
Plasmodium vivax;
Rupture;
Spleen;
Splenic Artery;
Splenic Rupture;
Vital Signs
- From:The Korean Journal of Parasitology
2019;57(4):405-409
- CountryRepublic of Korea
- Language:English
-
Abstract:
In malaria, splenic rupture is a serious complication potentially leading to death. Subcapsular hemorrhage of spleen is thought to be an impending sign of splenic rupture; however, the characteristics of subcapsular hemorrhage are not well known. We report 3 cases of subcapsular hemorrhage of the spleen in vivax malaria, with varying degrees of severity. Case 1 showed subcapsular hemorrhage without splenic rupture, was treated by antimalarial drug without any procedure. The healing process of the patient's spleen was monitored through 6 computed tomography follow-up examinations, over 118 days. Case 2 presented subcapsular hemorrhage with splenic rupture, treated only with an antimalarial drug. Case 3 showed subcapsular hemorrhage with splenic rupture and hypotension, treated using splenic artery embolization. They all recovered from subcapsular hemorrhage without any other complications. These 3 cases reveal the process of subcapsular hemorrhage leading to rupture and a potentially fatal outcome. The treatment plan of subcapsular hemorrhage should be determined carefully considering the vital signs, changes in hemoglobin, and bleeding tendency.
