Odeh Ahmad, Alsuwaigh Abdulmohsen, Albeladi Abdulqader M, Busbaih Zaki, Alkhars Abdullah M, Khalid Mohammed O, AlAli Aminah H, AlAbbad Mohmmed T, Boumarah Kawthar A, Alkhars Hussain M, Alammar Zainab A, Almohammedsaleh Ahmed H
General Surgery, Prince Saud Bin Jalawi Hospital, Al Ahsa, SAU.
General Surgery and Laparoscopy, Prince Saud Bin Jalawi Hospital, Al Ahsa, SAU.
Cureus. 2021 Oct 25;13(10):e19028. doi: 10.7759/cureus.19028. eCollection 2021 Oct.
Malaria presents a challenge to healthcare systems globally. It is associated with severe complications, notably splenic rupture. The prognosis of malaria complicated by splenic rupture is poor and sometimes leads to death even with timely intervention. Here, we report the case of a patient who presented with complicated malaria with spontaneous splenic rupture and coincidental acute appendicitis. A 34-year-old man was successfully treated for a grade IV ruptured spleen and acute appendicitis with splenectomy and appendectomy. Postoperative care took place in the intensive care unit and the patient was shifted to the general floor on the fifth day. Upon discharge the next day, he was prescribed amoxicillin twice daily for one year. Malaria can present with life-threatening complications requiring prompt surgical intervention.
疟疾给全球医疗系统带来了挑战。它与严重并发症相关，尤其是脾破裂。疟疾并发脾破裂的预后很差，即使及时干预有时也会导致死亡。在此，我们报告一例患有复杂疟疾并伴有自发性脾破裂和巧合性急性阑尾炎的患者病例。一名34岁男性因IV级脾破裂和急性阑尾炎接受了脾切除术和阑尾切除术，治疗成功。术后在重症监护病房进行护理，患者于第五天转至普通病房。次日出院时，给他开了阿莫西林，每日两次，服用一年。疟疾可能会出现危及生命的并发症，需要及时进行手术干预。
