Rare case of Plasmodium Vivax causing malarial splenic infarction at LUH, Jamshoro
Abstract
Malaria is a common parasitic infection in tropical countries. It has many serious complications like anemia, acute kidney injury, cerebral malaria, acute respiratory distress syndrome. Splenic infarction due to malaria is a rare complication. Up to 40 cases has been reported from 1960 to 2012. Plasmodium Vivax remains the common species. We report a case of a patient with Plasmodium Vivax infection who developed abdominal pain after 2 days of high-grade fever. Ultrasound abdomen revealed mild splenomegaly with multiple hypoechoic areas suggestive of splenic infarcts, which were further confirmed by abdominal CT scan. Patient responded to antimalarial and analgesics and was discharged from the hospital, when stable. This rare case is reported here as a learning opportunity for all physicians and general practitioners to keep this complication in mind should a similar case arise in the future.
How to Cite This Article
Abbasi Z, Auroj H, Devrajani T, Khawaja A. Rare case of Plasmodium Vivax causing malarial splenic infarction at LUH, Jamshoro. J Pak Soc Intern Med. 2024;5(4):756–757. doi:10.70302/jpsim.v5i4.2480
Conflict of Interest
All authors declare no competing interests.
Funding
No specific funding was received for this research.
Funder information follows the Crossref Funder Registry standard.
References
- Khan M I, Qureshi H, Bae S J. malaria prevalence in Pakistan: A systemic review and meta-analysis. Heliyon 2023 Apr;9(4):e15373
- Hwang J-H, Lee C-S, Malaria-induced Splenic Infarction. Am_J_Trop_MedHyg. 2014 dec 3:91(6):1094-1100.
- Ozsoy MF, Oncul O, Pekkafali Z, Pahsa A, Yenen OS. Splenic complications in malaria: report of two cases from Turkey. J Med Microbiol. (2004) 53:1255–8. doi: 10.1099/jmm.0.05428-0 doi:10.1099/jmm.0.05428-0
- Aggarwal HK, Jain D, Kaverappa V, Jain P, Kumar A, Yadav S, et al. Multiple splenic infarcts in acute Plasmodium vivax malaria: a rare case report. Asian Pac J Trop Med. (2013) 6:416–8. doi: 10.1016/S1995-7645(13)60051-6 doi:10.1016/S1995-7645(13)60051-6
- Gupta BK, Sharma K, Nayak KC, Agrawal TD, Binani A, Purohit VP. A case series of splenic infarction during acute malaria in northwest Rajasthan, India. Trans R Soc Med Hyg. (2010) 104:81–3. doi: 10.1016/j.trstmh.2009.05.015 doi:10.1016/j.trstmh.2009.05.015
- Lawrence YR, Pokroy R, Berlowitz D, Aharoni D, Hain D, Breuer GS. Splenic infarction:an update on William Osler’s observation. Isr Med Assoc J. (2010) 12:362–5.
- Areum Kim, Yun-Kyu Park,jin-Soo Lee. A case of symptomatic splenic infarction in vivax malaria:a case report. The Korean J of Parasitology. 2007;45 (1):55-58
Reference list indexed for Google Scholar and ResearchGate. DOI links resolve via doi.org.