A case series of splenic infarction during acute malaria in northwest Rajasthan, India.

Autor: Gupta BK; Department of Medicine, S.P. Medical College, Bikaner, Rajasthan, India. bkgbkn@rediffmail.com, Sharma K, Nayak KC, Agrawal TD, Binani A, Purohit VP, Kochar DK
Jazyk: angličtina
Zdroj: Transactions of the Royal Society of Tropical Medicine and Hygiene [Trans R Soc Trop Med Hyg] 2010 Jan; Vol. 104 (1), pp. 81-3. Date of Electronic Publication: 2009 Aug 25.
DOI: 10.1016/j.trstmh.2009.05.015
Abstrakt: Malaria is a rare cause of splenic infarction. Only a few cases have been reported worldwide, mostly associated with Plasmodium falciparum infection. Here we report a series of four acute malaria patients with splenic infarction, two with P. vivax infection, one with P. falciparum and one with a mixed infection (P. vivax and P. falciparum). This small case series suggests that if a patient with malaria is complaining of left upper quadrant abdominal pain, pleuritic left lower chest pain and/or enlarging tender splenomegaly during treatment, splenic infarct should be suspected and managed accordingly to avoid further life-threatening complications.
Databáze: MEDLINE