Korean J Med > Volume 73(3); 2007 > Article
The Korean Journal of Medicine 2007;73(3):1061-1065.
A case of splenic infarction during acute malaria
Hye Soo Chung, Chai Ryoung Eun, Hye Jung Choi, Nam Hoon Kim, Sang Hoon Lee, Sung Hyung Ha, Jeong Hoon Ji
경희대학교 의과대학 순환기내과학교실
증례 : 급성 말라리아와 동반된 비장경색 1예
정혜수&#;은채령&#;최혜정&#;김남훈&#;이상훈&#;하승형&#;지정훈, Chai Ryoung Eun, Hye Jung Choi, Nam Hoon Kim, Sang Hoon Lee, Sung Hyung Ha, Jeong Hoon Ji
Abstract
Malaria is a protozoan disease that's transmitted by the bite of infected Anopheles mosquitoes. During malarial infection, altered splenic structure and function can produce splenic complications such as hematoma formation, rupture, hypersplenism and infarction. Splenic infarction is a rare complication and it is probably underdiagnosed. In Korea, Plasmodium vivax is the most frequent malarial infection. We described here the case of a 48-year-old male who had acute Plasmodium vivax malaria complicated with splenic infarction. Management was restricted to anti-malarial medication and analgesia. The clinical outcome was favorable in this case. Clinicians should be aware that left hypochondrial pain in acute malaria patients may be due to splenic infarction. It is noteworthy that this is the first report about splenic infarction by Plasmodium vivax malaria.(Korean J Med 73:S1061-S1065, 2007)
Key Words: Spleen, Infarction, Malaria


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