Korean J Parasitol.  2007 Mar;45(1):55-58. 10.3347/kjp.2007.45.1.55.

A case of symptomatic splenic infarction in vivax malaria

Affiliations
  • 1Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. mhchungid@paran.com
  • 2Department of Parasitology, Inha University College of Medicine, Incheon, Korea.
  • 3Department of Internal Medicine, Daesung General Hospital, Bucheon, Gyeonggi-do, Korea.

Abstract

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.

Keyword

Plasmodium vivax; vivax malaria; case report; splenic infarction
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