Korean J Infect Dis.
1999 Apr;31(2):176-179.
A Case of Spontaneous Splenic Rupture in Vivax Malaria
- Affiliations
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- 1Department of Internal Medicine, Chonnam University Medical School, Kwangju, Korea.
- 2Department of General Surgery, Chonnam University Medical School, Kwangju, Korea.
- 3Department of Clinical Pathology, Chonnam University Medical School, Kwangju, Korea.
- 4Department of Anatomical Pathology, Chonnam University Medical School, Kwangju, Korea.
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.
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