2019, Number 1
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Rev Cub Med Mil 2019; 48 (1)
Spontaneous splenic rupture as a complication in plasmodium falciparum acute severe malaria
Rodríguez PJM, López HLR, Columbié GR
Language: Spanish
References: 10
Page: 92-97
PDF size: 178.26 Kb.
ABSTRACT
We present a clinical case of a patient with spontaneous rupture of the spleen, as a
serious and uncommon complication of acute malaria. This complication can occur
from the first week of illness and its late diagnosis is potentially fatal. It should be
suspected in all patients with severe malaria, who evolutionarily present an acute
abdomen and signs of hypovolemic shock. Medical or surgical management will
depend on the extent of the rupture and hemodynamic status of the patient. The
case is presented due to the severity and low frequency of this complication.
REFERENCES
Atkinson E. Death from idiopathic rupture of the spleen. BMJ. 1874; 2:403-4.
Orloff MJ, Peskin GW. Spontaneous rupture of the normal spleen, a surgical enigma. In Abstr Surg. 1958;106(1):1-11.
López-Tomassetti Fernández EM, Delgado Plasencia L, Arteaga González IJ, Carrillo Pallares A, Hernández Siverio N. Rotura no traumática del bazo: experiencia con 10 casos. Gastroenterol Hepatol. 2007;30(10):585-91.
Moura D, Couceiro A, Inácio A, Coelho M. Ruptura esplênica secundária à infeção por Plasmodium falciparum. Rev Soc Bras Clín Méd. 2017;15(1):43-5.
Soriano-Pérez MJ, Salas-Coronas J, Molina-Arrebola MA, Cabezas-Fernández MT. Paludismo por Plasmodium falciparum en pacientes sin viaje reciente a zona endémica. Enferm Infecc Microbiol Clin. 2015;33(4):289-90.
Illescas T J, Tagle A M, Castro P E, Casttle J, Scavino Levy Y, Valdez F L. Ruptura espontánea del bazo por mononucleosis: Reporte de un caso. Rev Gastroent. Perú. 2000; 20 (4):434-9.
Julià J, Martínez X, Garau J. Rotura esplénica de causa infecciosa Enferm Infecc Microbiol Clin. 2000;18(3):133-6.
Muñoz J, Rojo-Marcos G, Ramírez-Olivencia G, Salas-Coronas J, Treviño B, Pérez Arellano JL, et al. Diagnóstico y tratamiento de la malaria importada en España: recomendaciones del Grupo de Trabajo de Malaria de la Sociedad Española de Medicina Tropical y Salud Internacional (SEMTSI). Enferm Infecc Microbiol Clin. 2015;33(6):1-13.
Bisoffi Z, Gobbi F, Buonfrate D, Van den Ende J. Diagnosis of Malaria Infection with or without Disease. Mediterr J Hematol Infect Dis. 2012; 4(1):2012-36.
Njuguna P, Newton C. Management of severe falciparum malaria. J Postgrad Med. 2004; 50(1):45-50.