A Rare Cause of Acute Abdomen; Rupture of Spleen Due to Malarial Infection

Abstract

Acute abdominal pain is an important part of the emergency department admissions, and although it has many benign etiologies, it can be difficult to diagnose, manage, and may be fatal if it is omitted. Malaria may present with mild symptoms such as fever, myalgia, headache and fatigue and severe symptoms such as seizures, acute renal insufficiency, intravascular hemolysis, shock, etc. If it is complicated, it could be one of the most dangerous diseases of mankind. We would like to report a patient who was diagnosed with pathological splenic rupture due to malarial infection, admitted to the Emergency Department.

Keywords

• Emergency medicine,malaria,splenic rupture

Akut Batının Nadir Bir Sebebi: Malarya Enfeksiyonuna Bağlı Dalak Rüptürü

Abstract

Akut karın ağrısı acil servis başvurularının önemli bir parçasıdır ve birçok iyi huylu etiyolojik sebebe sahip olmasına rağmen, teşhis edilmesi ve yönetilmesi oldukça zordur ve ihmal edilmesi durumunda da ölümcül olabilir. Sıtma; ateş, miyalji, baş ağrısı ve yorgunluk gibi hafif semptomlarla ortaya çıkabileceği gibi, nöbetler, akut böbrek yetmezliği, intravasküler hemoliz, şok gibi şiddetli semptomlarla kendini gösterebilir. Eğer komplike hale gelirse, insanlar için en tehlikeli hastalıklarından biri olabilir. Bizler acil servise başvuran ve sıtma enfeksiyonuna bağlı patolojik dalak rüptürü tanısı konan bir hastayı sunmak istiyoruz.

Keywords

• dalak rüptürü,sıtma,Acil tıp

References

1. ReferanslarReferans 1. Molyneaux M. Malaria In Judith E. Tintinally, MD, MS, Editor. Emergency Medicine. 8th ed. New York, NY:McGraw-Hill;2016:1070-76
2. Referans 2. WHO. World malaria report. Geneva: World Health Organization; 2017. (Internet) Available: http://www.who.int/malaria/publications/world-malaria-report-2017/en/
3. Referans 3. Renzulli P, Hostettler A, Schoepfer AM et al. Systematic review of atraumatic splenic rupture. Br J Surg. 2009 Oct;96(10):1114-21.
4. Referans 4. Nikhil Gupta, Pawanindra Lal, Anubhav Vindal et al. Spontaneous rupture of malarial spleen presenting as hemoperitoneum:a case report. J Vector Borne Dis. 47, June 2010, pp. 119–20
5. Referans 5. Hershey F B, Lubitz S J M. Spontaneous rupture of the malarial spleen. Case report and analysis of 64 reported cases. Annals of surgery. 1948; 127 (1):40-57.
6. Referans 6. Leighton W E. Case report and analysis of 64 reported cases. Annals of surgery. 1948; 127 (1):40-57.
7. Referans 7. Imbert P, Rapp C, Buffet PA. Pathological rupture of the spleen in malaria: analysis of 55 cases (1958–2008). Travel Med Infect Dis. 2009;7: 147–59.
8. Referans 8. Siqueira A.M, Magalha˜es B.M.L, Melo G.C et al. Spleen Rupture in a Case of Untreated Plasmodium vivax Infection. PLoS Negl Trop Dis. 2012;6: e1934

9. Referans 9. Elizalde‑Torrent A.,Val F., Azevedo I.C.C. et al. Sudden spleen rupture in a Plasmodium vivax‑infected patient undergoing malaria treatment. Malar J. 2018;1: 17:79
10. Referans 10. Kim K.M, Bae B.K, Lee S.B. Spontaneous splenic rupture in Plasmodium vivax malaria. Ann Surg Treat Res. 2014;87(1):44-46.
11. Referans 11. Hussein B.M.A, Ani A.M.A, Al-Mayoofi O et al. Spontaneous rupture of splenic hematoma in a malaria patient: Casereport and review of literature, International Journal of Surgery Case Reports. 2016;29: 241–44.
12. Referans 12. Kim N.H, Lee K.H, Jeon Y.S et al. Spontaneous Splenic Rupture in a Vivax Malaria Case Treated with Transcatheter Coil Embolization of the Splenic Artery. Korean J Parasitol. 2015;53(2): 215-18.