Yagmur Y, Kara I H, Aldemir M, Büyükbayram H, Tacyildiz I H, Keles C
Department of General Surgery, Dicle University, Faculty of Medicine, Diyarbakir, Turkey.
Crit Care. 2000;4(5):309-13. doi: 10.1186/cc713. Epub 2000 Aug 10.
Malaria has long been among the most common diseases in the southeast Anatolia region of Turkey. In 1992, 18676 cases were diagnosed in Turkey, and Diyarbakir city had the highest incidence (4168 cases), followed by SanliUrfa city (3578 cases). Malaria was especially common during 1994 and 1995, with 84345 and 82094 cases being diagnosed in these years, respectively. Spontaneous rupture of malarial spleen is rare. We saw two cases during 1998, which are reported herein. Both patients were male, and were receiving chloroquine treatment for an acute attack of malaria. One of the patients had developed abdominal pain and palpitations, followed by fainting. The other patient had abdominal pain and fever. Explorative laparotomy revealed an enlarged spleen in both patients. Splenectomy was performed in both patients. We have identified 15 episodes of spontaneous rupture of the spleen in the English language literature published since 1961. Because of increased travel to endemic areas and resistance to antimalarial drugs, malaria is a major medical problem that is becoming increasingly important to surgeons worldwide. Malaria is a particularly important problem in the southeast Anatolia region of Turkey. Prophylactic precautions should be taken by tourists who travel to this region, especially during the summer.
疟疾长期以来一直是土耳其安纳托利亚东南部地区最常见的疾病之一。1992年，土耳其诊断出18676例病例，迪亚巴克尔市发病率最高（4168例），其次是尚勒乌尔法市（3578例）。1994年和1995年疟疾尤为常见，这两年分别诊断出84345例和82094例病例。疟性脾自发性破裂很少见。我们在1998年见到两例，在此报告。两名患者均为男性，正在接受氯喹治疗疟疾急性发作。其中一名患者出现腹痛和心悸，随后昏厥。另一名患者有腹痛和发热。剖腹探查发现两名患者脾脏均肿大。两名患者均接受了脾切除术。自1961年以来发表的英文文献中，我们发现了15例脾自发性破裂病例。由于前往流行地区的旅行增加以及对抗疟药物产生耐药性，疟疾成为一个主要的医学问题，对全球外科医生来说变得越来越重要。在土耳其安纳托利亚东南部地区，疟疾是一个特别重要的问题。前往该地区的游客应采取预防措施，尤其是在夏季。
