Subcapsular Splenic Hemorrhage in Vivax Malaria
The Korean Journal of Parasitology
; : 405-409, 2019.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-761758
Biblioteca responsável:
WPRO
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:
Disponível
Contexto em Saúde:
Doenças Negligenciadas
Problema de saúde:
Malária
/
Doenças Negligenciadas
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Plasmodium vivax
/
Ruptura
/
Baço
/
Artéria Esplênica
/
Ruptura Esplênica
/
Seguimentos
/
Malária Vivax
/
Evolução Fatal
/
Sinais Vitais
/
Hemorragia
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Idioma:
Inglês
Revista:
The Korean Journal of Parasitology
Ano de publicação:
2019
Tipo de documento:
Artigo