Subcapsular Splenic Hemorrhage in Vivax Malaria
The Korean Journal of Parasitology
;
: 405-409, 2019.
Artículo
en Inglés
| WPRIM
| ID: wpr-761758
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Plasmodium vivax
/
Rotura
/
Bazo
/
Arteria Esplénica
/
Rotura del Bazo
/
Estudios de Seguimiento
/
Malaria Vivax
/
Resultado Fatal
/
Signos Vitales
/
Hemorragia
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Idioma:
Inglés
Revista:
The Korean Journal of Parasitology
Año:
2019
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS