Spontaneous splenic rupture in tertian malaria

被引：16
作者：
Gockel, HR
Heidemann, J
Lorenz, D
Gockel, I
机构：
[1] Univ Mainz, Dept Gen & Abdominal Surg, D-55101 Mainz, Germany
[2] Univ Munster, Dept Med B, D-4400 Munster, Germany
[3] Dr Horst Schmidt Kliniken, Dept Gen & Viseral Surg, Wiesbaden, Germany
来源：
INFECTION | 2006年 / 34卷 / 01期
关键词：
D O I：
10.1007/s15010-006-4126-8
中图分类号：
R51 [传染病];
学科分类号：
100401 ;
摘要：
We report a case of tertian malaria in a 36-year-old Caucasian mate complicated by spontaneous splenic rupture 2 months after returning from Kenya. The ruptured and enlarged spleen displaying multiple subcapsular hemorrhages was surgically resected. Histological. examination revealed a marked enlargement of the red pulp and a reduced white pulp in addition to hyperemia of the spleen. Tertian malaria was diagnosed by peripheral blood smear and elevated antibody titer against Plasmodium vivax. The patient underwent antimalarial therapy with chloroquine and primaquine and the further course was uneventful. Etiopathology, differential diagnosis and therapy of this rare complication in malaria are discussed.
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页码：43 / 45
页数：3
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