Splenic Infarction in Plasmodium vivax Infection in South Korea

Splenic infarction caused by malaria can be fatal, but its incidence and clinical presentation are not well-known. Thus, we investigated the prevalence and characteristics of splenic complications in patients with vivax malaria from 2005 to 2017 in a university hospital. Among 273 patients who were...

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Bibliographic Details
Published in:The American journal of tropical medicine and hygiene 2019-01, Vol.101 (4), p.803-805
Main Authors: Im, Jae Hyoung, Chung, Moon-Hyun, Durey, Areum, Kwon, Hea Yoon, Lee, Jin-Soo, Lee, Man-Jong, Baek, Ji Hyeon
Format: Article
Language:English
Subjects:
Abdomen - diagnostic imaging
Adult
Antimalarials - therapeutic use
Female
Hospitals, University
Humans
Incidence
Malaria
Malaria, Vivax - diagnostic imaging
Malaria, Vivax - drug therapy
Malaria, Vivax - epidemiology
Malaria, Vivax - parasitology
Male
Middle Aged
Parasites
Plasmodium vivax - isolation & purification
Republic of Korea - epidemiology
Spleen
Spleen - diagnostic imaging
Splenic Infarction - diagnostic imaging
Splenic Infarction - drug therapy
Splenic Infarction - epidemiology
Splenic Infarction - parasitology
Tomography, X-Ray Computed
Ultrasonography
Young Adult
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Summary:Splenic infarction caused by malaria can be fatal, but its incidence and clinical presentation are not well-known. Thus, we investigated the prevalence and characteristics of splenic complications in patients with vivax malaria from 2005 to 2017 in a university hospital. Among 273 patients who were diagnosed with infection by blood smear, 92 underwent abdominal computed tomography or ultrasonography. Twelve patients had splenic infarction. All patients with splenic infarction recovered after treatment with antimalarial drugs, without surgery and intervention. Although anemia and prolonged fever may be risk factors for splenic infarction, the incidence of these events was insufficient for a detailed analysis.
ISSN:0002-9637
1476-1645
DOI:10.4269/ajtmh.19-0101