Splenomegaly, pancytopenia and pregnancy: a case report and review of the literature.
We present a 35-year-old previously healthy primigravida who presented at 26(4/7) weeks of gestation with pancytopenia and hepatosplenomegaly. She received 10 transfusions and delivered at 34(4/7) weeks of gestation by cesarean section. Two months later following splenectomy, she was diagnosed with malaria. Physicians should have a high index of suspicion for malaria in the context of splenomegaly and pancytopenia in pregnancy even in the absence of fever.
Hobeika
Elie M
EM
Department of Obstetrics and Gynecology, American University of Beirut Medical Center, P.O. Box 113-6044, Beirut, Lebanon.
Usta
Ihab M
IM
Taher
Ali T
AT
Nassar
Anwar H
AH
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001803:Blood Transfusion; D003951:Diagnostic Errors; D005260:Female; D005938:Glucocorticoids / Q000009:adverse effects; D006529:Hepatomegaly / Q000209:etiology; D006801:Humans; D016778:Malaria, Falciparum / Q000150:complications* / Q000175:diagnosis*; D015242:Ofloxacin / Q000627:therapeutic use; D010198:Pancytopenia / Q000209:etiology*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis*; D013156:Splenectomy; D013163:Splenomegaly / Q000209:etiology*
D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D015242:Ofloxacin