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 Case Reports |
| A Case of Spontaneous Splenic Rupture in Vivax Malaria |
| Dong Hyeon Shin, M.D., Kyu Sik Kim, M.D., Yong Joo Kim, M.D.Sang Hyun Lee, M.D., Sei Jong Kim, M.D., Chol Kyoon Cho, M.D.*Jong Hee Shin, M.D.†, Dong Wook Ryang, M.D.† and Jae Hyuk Lee, M.D.? |
| Department of Internal Medicine, General Surgery*, Clinical Pathology†, and Anatomical Pathology?, Chonnam University Medical School, Kwangju, Korea |
Vol.31 Num.2 (p176~179)
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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 developed 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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Keywords : Splenic rupture, Vivax malaria |
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