A case of symptomatic splenic infarction in vivax malaria.
Splenic infarction is a rare complication in malaria cases, and is caused primarily by Plasmodium falciparum. Recently in South Korea, only P. vivax has prevailed since 1993. Although the probability that symptomatic splenic infarction may occur in vivax malaria cases is considered relatively high, there have never been any case reports describing the occurrence of symptomatic splenic infarction in cases of vivax malaria. A 34-year-old man presented with fever that had persisted for 5 days. P. vivax infection was verified using a peripheral blood smear, and chloroquine was utilized to treat the fever successfully. Six days later, the patient developed pain in the left upper abdomen, which was diagnosed as splenic infarction by computed tomography.
Kim
Areum
A
Department of Internal Medicine, Inha University College of Medicine, Incheon 400-712, Korea.
Park
Yun-Kyu
YK
Lee
Jin-Soo
JS
Chung
Moon-Hyun
MH
Kim
Eun Sil
ES
D000328:Adult; D000818:Animals; D006801:Humans; D016780:Malaria, Vivax / Q000097:blood / Q000150:complications* / Q000188:drug therapy; D008297:Male; D010966:Plasmodium vivax / Q000302:isolation & purification*; D011319:Primaquine / Q000627:therapeutic use; D013159:Splenic Infarction / Q000097:blood / Q000469:parasitology*
D011319:Primaquine