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A Case of Spontaneous Splenic Rupture in Vivax Malaria
Kyung-Wook Hong, M.D., Jeong-A Lee, M.D., Won-Jin Kim, M.D., Chul-Min Park, M.D., Hye-Lee Kwon, M.D., Hye-Won Park, M.D., and Joong-Sik Eom, M.D.
Department of Internal Medicine, College of Medicine, Hallym University, Seoul, Korea
Vol.39 Num.5 (p274~276)
Plasmodium vivax has been the predominant Plasmodium species in the Republic of Korea and reemerged in 1993. Spontaneous rupture of malarial spleen is a rare but important complication associated with P. vivax infection. Only one case of spontaneous rupture of malarial spleen was reported in Korea in 1999. Splenectomy is still accepted as the treatment of choice in cases of spontaneous rupture of the spleen. But, considering increased risk of postsplenectomy infecion, splenectomy should be reserved for those patients with severe rupture or those with continued or recurrent bleeding. And conservative treatment should be considered in selected, closely monitored patients. We report a patient with P. vivax malaria who developed a spontaneous splenic rupture and was improved by conservative treatment.
Keywords : Malaria, Splenic rupture, Plasmodium vivax