|
KMID : 0425120190570040405
|
|
Parasites, Hosts and Diseases
2019 Volume.57 No. 4 p.405 ~ p.409
|
|
|
Subcapsular Splenic Hemorrhage in Vivax Malaria
|
|
Im Jae-Hyoung
Chung Moon-Hyun
Durey Areum
Lee Jin-Soo
Kim Tong-Soo
Kwon Hea-Yoon
Baek Ji-Hyeon
|
|
|
Abstract
|
|
|
|
In malaria, splenic rupture is a serious complication potentially leading to death. Subcapsular hemorrhage of spleen is thought to be an impending sign of splenic rupture; however, the characteristics of subcapsular hemorrhage are not well known. We report 3 cases of subcapsular hemorrhage of the spleen in vivax malaria, with varying degrees of severity. Case 1 showed subcapsular hemorrhage without splenic rupture, was treated by antimalarial drug without any procedure. The healing process of the patient's spleen was monitored through 6 computed tomography follow-up examinations, over 118 days. Case 2 presented subcapsular hemorrhage with splenic rupture, treated only with an antimalarial drug. Case 3 showed subcapsular hemorrhage with splenic rupture and hypotension, treated using splenic artery embolization. They all recovered from subcapsular hemorrhage without any other complications. These 3 cases reveal the process of subcapsular hemorrhage leading to rupture and a potentially fatal outcome. The treatment plan of subcapsular hemorrhage should be determined carefully considering the vital signs, changes in hemoglobin, and bleeding tendency.
|
|
|
KEYWORD
|
|
|
Plasmodium vivax, hemorrhage, malaria, spleen, splenic rupture
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
    
|
|