Splenic infarction during acute falciparum malaria: A case report
Splenomegaly is common in malaria, but splenic infarction is a rare complication of malaria. We report a case of a patient with Plasmodium falciparum infection who developed abdominal pain, reappearance of fever, elevated D-dimer during treatment, and abdominal CT confirmed splenic infarction. The a...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.951812/full |
| _version_ | 1797995069627695104 |
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| author | Youguang Lu Youguang Lu Shian Zhang Chuanshen Jiang |
| author_facet | Youguang Lu Youguang Lu Shian Zhang Chuanshen Jiang |
| author_sort | Youguang Lu |
| collection | DOAJ |
| description | Splenomegaly is common in malaria, but splenic infarction is a rare complication of malaria. We report a case of a patient with Plasmodium falciparum infection who developed abdominal pain, reappearance of fever, elevated D-dimer during treatment, and abdominal CT confirmed splenic infarction. The abdominal pain was relieved and the fever subsided by analgesic and anticoagulant therapy. Six months later, abdominal CT showed splenic recovery. As a result, splenic infarction should be considered when a patient with malaria developed abdominal pain, reappearance of fever and elevated blood D-dimer during treatment. In the absence of surgical indications, conservative medical treatment is effective. |
| first_indexed | 2024-04-11T09:55:36Z |
| format | Article |
| id | doaj.art-e2f555da758d4f2590098a6d13af9b0d |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-11T09:55:36Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-e2f555da758d4f2590098a6d13af9b0d2022-12-22T04:30:37ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-09-01910.3389/fmed.2022.951812951812Splenic infarction during acute falciparum malaria: A case reportYouguang Lu0Youguang Lu1Shian Zhang2Chuanshen Jiang3Department of Infectious Diseases, 900TH Hospital of Joint Logistics Support Force, Fuzhou, ChinaDepartment of Infectious Diseases, Fuzong Clinical College, Fujian Medical University, Fuzhou, ChinaDepartment of Hepatobiliary Disease, 900TH Hospital of Joint Logistics Support Force, Fuzhou, ChinaDepartment of Gastroenterology, 900TH Hospital of Joint Logistics Support Force, Fuzhou, ChinaSplenomegaly is common in malaria, but splenic infarction is a rare complication of malaria. We report a case of a patient with Plasmodium falciparum infection who developed abdominal pain, reappearance of fever, elevated D-dimer during treatment, and abdominal CT confirmed splenic infarction. The abdominal pain was relieved and the fever subsided by analgesic and anticoagulant therapy. Six months later, abdominal CT showed splenic recovery. As a result, splenic infarction should be considered when a patient with malaria developed abdominal pain, reappearance of fever and elevated blood D-dimer during treatment. In the absence of surgical indications, conservative medical treatment is effective.https://www.frontiersin.org/articles/10.3389/fmed.2022.951812/fullsplenic infarctionmalariaPlasmodium falciparumcomplicationtreatment |
| spellingShingle | Youguang Lu Youguang Lu Shian Zhang Chuanshen Jiang Splenic infarction during acute falciparum malaria: A case report Frontiers in Medicine splenic infarction malaria Plasmodium falciparum complication treatment |
| title | Splenic infarction during acute falciparum malaria: A case report |
| title_full | Splenic infarction during acute falciparum malaria: A case report |
| title_fullStr | Splenic infarction during acute falciparum malaria: A case report |
| title_full_unstemmed | Splenic infarction during acute falciparum malaria: A case report |
| title_short | Splenic infarction during acute falciparum malaria: A case report |
| title_sort | splenic infarction during acute falciparum malaria a case report |
| topic | splenic infarction malaria Plasmodium falciparum complication treatment |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.951812/full |
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