Multiple Splenic Infarcts Complicating Plasmodium vivax Malaria.
Neha Tripathi1, Abhijeet Saha, Manpreet Kaur
1From the Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi, India.
Pediatric Emergency Care
|October 9, 2019
Summary
Splenic infarction is a rare Plasmodium vivax malaria complication. This case highlights splenic infarction with acute kidney injury in a child, emphasizing the need for surgical emergency evaluation.
Area of Science:
- Pediatric infectious diseases
- Malariology
- Nephrology
Background:
- Plasmodium vivax malaria can present with rare complications.
- Splenic infarction is an uncommon but serious manifestation.
Observation:
- A 13-year-old male presented with severe left hypochondrium pain.
- The patient had Plasmodium vivax malaria and acute kidney injury.
Findings:
- The case involved splenic infarction as a complication of P. vivax malaria.
- Treatment included intravenous artesunate and oral primaquine.
Implications:
- Left hypochondrium pain in children with P. vivax malaria warrants evaluation for splenic infarction.
- Clinicians should consider surgical emergencies such as rupture or abscess.
- This case underscores the importance of recognizing unusual malaria complications.
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