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Case Report: Sudden Splenic Rupture in a Plasmodium falciparum-Infected Patient

Authors Kassam N, Michael S, Hameed K, Ali A, Surani S

Received 11 June 2020

Accepted for publication 18 August 2020

Published 9 September 2020 Volume 2020:13 Pages 595—598

DOI https://doi.org/10.2147/IJGM.S267197

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Nadeem Kassam,1 Steven Michael,2 Kamran Hameed,1 Athar Ali,2 Salim Surani3

1Department of Internal Medicine, Aga Khan University Medical College East Africa, Dar-es-salaam, Tanzania; 2Department of General Surgery, Aga Khan University Medical College East Africa, Dar-es-salaam, Tanzania; 3Department of Internal Medicine, Texas A&M University, College Station, TX, USA

Correspondence: Nadeem Kassam Email nadeem.kassam@aku.edu

Abstract: Spontaneous splenic rupture is a rare and life-threatening complication of severe malaria. It demands particular attention since delayed or missed diagnosis can be potentially fatal. The exact incidence is unknown largely due to underreporting. Acute malarial infection accounts for most of the spontaneous splenic rupture. Plasmodium vivax has been associated with the majority of them; however, on rare occasion, other Plasmodium infections have also resulted in splenic rupture. We report the case of a 74-year-old male who was diagnosed with severe malaria caused by Plasmodium falciparum (P. falciparum) infection and developed an acute abdomen while on treatment due to spontaneous splenic rupture which necessitated emergency splenectomy.

Keywords: spontaneous splenic rupture, Plasmodium falciparum

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