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Subcapsular Splenic Hemorrhage in Vivax Malaria
Jae Hyoung Im1, Moon-Hyun Chung2, Areum Durey3
1Division of Infectious Diseases, Department of Internal Medicine, Inha University School of Medicine, Incheon 22332, Korea.
The Korean Journal of Parasitology
|September 20, 2019
Summary
Subcapsular splenic hemorrhage in malaria can lead to rupture and death. Treatment for splenic hemorrhage requires careful consideration of patient vitals and bleeding risk.
Area of Science:
- Tropical Medicine
- Hematology
- Radiology
Background:
- Splenic rupture is a severe complication of malaria.
- Subcapsular splenic hemorrhage is a precursor to rupture, but its characteristics are poorly understood.
Observation:
- Three cases of subcapsular splenic hemorrhage in Plasmodium vivax malaria are presented.
- Cases demonstrated varying severity, from hemorrhage alone to rupture with hypotension.
Findings:
- Case 1: Hemorrhage without rupture, treated with antimalarials, monitored via CT for 118 days.
- Case 2: Hemorrhage with rupture, treated with antimalarials.
- Case 3: Hemorrhage with rupture and hypotension, treated with splenic artery embolization.
Implications:
- Subcapsular splenic hemorrhage can progress to potentially fatal rupture.
- Treatment decisions for splenic hemorrhage should be individualized based on clinical status and bleeding risk.
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