Spontaneous Splenic Rupture due to<i>Plasmodium vivax</i>in a Traveler: Case Report and Review

Jiménez, Beatriz C.; Navarro, Miriam; Huerga, Helena; López‐Vélez, Rogelio

doi:10.1111/j.1708-8305.2007.00112.x

Cited by 32 publications

(22 citation statements)

References 11 publications

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“…It can be found in up to 50-90% of malaria patients. 3,5,8 Our results also showed a statistically higher incidence of splenomegaly in the malaria group (79.4%) ( P < 0.01). The mean ± SD value of spleen length (12.4 ± 0.9 cm) in the malaria group was larger than those of the non-malaria groups ( P < 0.05) ( Table 1 ).…”

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confidence: 70%

“…Although our study showed a high rate of splenic rupture or subcapsular hematoma (3 cases, 8.8%), spontaneous rupture was seen in only one case (2.9%), which is consistent with the incidence reported in a previous study. 3 A careful survey of CT will be useful for assessing the prognosis of a splenic rupture. Although the exact mechanism of a splenic rupture is not known, several mechanisms of vascular congestion and thrombosis have been recently suggested.…”

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confidence: 99%

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Abdominal Computed Tomography Findings of Malaria Infection with Plasmodium vivax

Kim

Cho²,

Cho³

et al. 2010

The American Journal of Tropical Medicine and Hygiene

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Malaria is a serious, mosquito-borne, infectious disease that is caused by Plasmodium species. Plasmodium species are transmitted by infected female mosquitoes of genera that bite humans. These parasites grow within erythrocytes and are released by cyclic hemolysis. Malaria is distributed worldwide in endemic areas such as South America, Africa, and South Asia. South Korea was known to be an area endemic for P. vivax , and the reemergence of this disease has been reported along the western edge of the Demilitarized Zone since 1993. 1The main symptom of malaria is episodic fever. Abdominal symptoms of P. vivax malaria are usually mild and nonspecific and include abdominal pain or hepatosplenomegaly. 2, 3However, abdominal computed tomography (CT) findings of patients with P. vivax malaria are not well known. To the best of our knowledge, only a few sporadic case reports are found in the English literature.2-5 Malaria is still a worldwide lifethreatening infection and should be included in the differential diagnosis of a fever wherever malaria is present. Therefore, the purpose of this study was to investigate the abdominal CT findings of P. vivax malaria.This retrospective study was reviewed and approved by our institutional review board and patient consent was waived. During January 2004-February 2009, the medical records of 405 patients in our hospital who were confirmed as having P. vivax malaria by peripheral blood smear were obtained. Among them, 47 patients underwent an abdominal CT examination and 51 patients underwent abdominal ultrasonography because of gastrointestinal symptoms.Exclusion criteria were more than a three-day interval between the peripheral blood smear and CT scan (n = 8), nondigitalized images (n = 2), unavailable peripheral blood smear slides (n = 2), and monophasic CT (n = 1). Thus, our final study population was composed of 34 patients (24 men and 10 women, mean age = 48.1 years). All patients were completely cured by treatment with chloroquine and most patients were lost to further follow-up. Two patients underwent follow-up CTs for other reasons. One patient underwent a splenectomy for a spontaneous rupture. Two patients with a subcapsular hematoma were hemodynamically stable and were successfully managed with supportive care.We retrospectively searched and evaluated the medical records of 80 consecutive patients (40 men and 40 women, mean age = 48.7 years) among those who visited the emergency department with high fever (> 38.3°C), had negative results for a peripheral blood smear, and underwent bi-phasic abdominal CT. The causes of their fever were acute hepatitis (n = 17), acute pyelonephritis (n = 11), acute gastroenteritis (n = 9), cholecystitis (n = 9), liver abscesses (n = 8), and cholangitis (n = 5), and so on. All diagnoses were confirmed by available date in the form of image characteristics, pathologic results, and clinical courses. For the normal group, we also tested 120 consecutive persons (86 men and 34 women, mean age = 45.9 years) who visited a health promotion cente...

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confidence: 70%

mentioning

confidence: 99%

Abdominal Computed Tomography Findings of Malaria Infection with Plasmodium vivax

Kim

Cho²,

Cho³

et al. 2010

The American Journal of Tropical Medicine and Hygiene

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“…The causes of abdominal pain in malaria are protean and include hepatitis/hepatomegaly (Beg et al, 2008) acalculous cholecystitis (Anthonie-Milhomme et al, 2007), acute surgical abdomen (Gopisetty et al, 2007) and splenic rupture (Jimenez et al, 2007). Apart from typical presentations, lot of patients were seen with unusual presentation with symptoms suggestive of upper and lower respiratory tract infections including acute lung injury, meningitis, acute hepatitis including fulminant hepatic failure and acute gastroenteritis (Ahsan & Rab, 1993;Bhalli & Samiullah, 2001;Kyriacou et al, 1996& Seshadri et al, 2008.…”

Section: Discussionmentioning

confidence: 99%

Acute on Chronic Pancreatitis Masking Falciparum Malaria: A Case Report

Badhal¹,

Irshad²,

Badhal³

et al. 2009

GJHS

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Malaria is one of the leading causes of morbidity and mortality reported worldwide. Malaria caused by P. Falciparum is a multisystem disorder and may have diversity of clinical presentations. We are presenting a case report of patients of Falciparum Malaria masking acute on chronic pancreatitis. We suggest that Falciparum Malaria should be included in differential diagnosis of acute pancreatitis presenting with fever especially in endemic countries.

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“…Though pain abdomen is a frequent presenting symptom of falciparum malaria and often multifactorial [6][7][8][9][10], pancreatitis is one of the rare causes for the same and if it goes undetected can often be fatal. However it can be cured with proper early initiation of treatment.…”

Section: Discussionmentioning

confidence: 99%