Lu Youguang, Zhang Shian, Jiang Chuanshen
Department of Infectious Diseases, 900TH Hospital of Joint Logistics Support Force, Fuzhou, China.
Department of Infectious Diseases, Fuzong Clinical College, Fujian Medical University, Fuzhou, China.
Front Med (Lausanne). 2022 Sep 14;9:951812. doi: 10.3389/fmed.2022.951812. eCollection 2022.
Splenomegaly is common in malaria, but splenic infarction is a rare complication of malaria. We report a case of a patient with infection who developed abdominal pain, reappearance of fever, elevated D-dimer during treatment, and abdominal CT confirmed splenic infarction. The abdominal pain was relieved and the fever subsided by analgesic and anticoagulant therapy. Six months later, abdominal CT showed splenic recovery. As a result, splenic infarction should be considered when a patient with malaria developed abdominal pain, reappearance of fever and elevated blood D-dimer during treatment. In the absence of surgical indications, conservative medical treatment is effective.
