Spontaneous rupture of the spleen: Think about malaria
Journal Title: International Journal of Medical and Health Research - Year 2017, Vol 3, Issue 3
Abstract
Despite advances in diagnosis and treatment, malaria remains deadly. One of the potentially lethal complications of malaria is the spontaneous rupture of the spleen. We report a case revealing a malarial access to palsmodium ovale in a 34 year old male admitted for fever at 40°C evolving for 2 weeks accompanied by distension and diffuse abdominal pain. The computed tomography revealed peripheral fracture of the spleen with infarction and collection of fluid in abdomen. Spontaneous splenic rupture is a severe but fortunately rare complication of malaria infections. The clinical picture varies from pain in the left hypochondrium to a state of haemorrhagic shock. Conservative treatment may be considered in cases of haemodynamic stablility and under tight supervision.
Authors and Affiliations
A Zinebi, H Kechna, T Lamsiah, MK Moudden, MEl Baaj
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