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间日疟原虫疟疾并发多发性脾梗死

Multiple Splenic Infarcts Complicating Plasmodium vivax Malaria.

作者信息

Tripathi Neha, Saha Abhijeet, Kaur Manpreet

机构信息

From the Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi, India.

出版信息

Pediatr Emerg Care. 2019 Oct;35(10):e181-e183. doi: 10.1097/PEC.0000000000001942.

Abstract

Splenic infarct is a rare complication in Plasmodium vivax malaria. We report a case of splenic infarction with acute kidney injury in a case of P. vivax malaria in a 13-year-old male child who presented to the emergency department with severe pain in the left hypochondrium. The patient was managed with intravenous artesunate and oral primaquine. Pain in left hypochondrium in children with P. vivax malaria due to splenic infarction needs to be evaluated for any surgical emergency like rupture or abscess. A review of literature of the unusual but serious complication is presented along with the case report.

摘要

脾梗死是间日疟疟疾中一种罕见的并发症。我们报告一例13岁男性儿童间日疟疟疾合并脾梗死及急性肾损伤的病例,该患儿因左季肋部剧痛就诊于急诊科。患者接受了静脉注射青蒿琥酯和口服伯氨喹治疗。间日疟疟疾患儿因脾梗死出现左季肋部疼痛时,需要评估是否存在如破裂或脓肿等任何外科急症。本文在病例报告的同时,对这一罕见但严重的并发症的文献进行了综述。

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