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恶性疟原虫所致自发性脾破裂经保守治疗成功治愈。

Spontaneous splenic rupture due to falciparum malaria successfully treated with a conservative approach.

作者信息

Dias Lúcia Ribeiro, Caldas João Paulo, Teixeira João Pedro Araújo, Gomes Virgília, Babo Alexandra, Faustino Ana Sofia, Baptista Ricardo, Valdoleiros Sofia R, Santos Lurdes

机构信息

Infectious Diseases Department, Centro Hospitalar Universitário de São João, Porto, Portugal; Faculty of Medicine, University of Porto, Porto, Portugal.

Infectious Diseases Department, Centro Hospitalar Universitário de São João, Porto, Portugal; Faculty of Medicine, University of Porto, Porto, Portugal.

出版信息

Parasitol Int. 2023 Jun;94:102736. doi: 10.1016/j.parint.2023.102736. Epub 2023 Feb 5.

Abstract

Malaria is frequently associated with splenomegaly. However, spontaneous splenic rupture is a rare and life-threatening complication. It is mostly seen in acute infection in non-immune adults and Plasmodium vivax and Plasmodium falciparum have been associated with the majority of cases. We describe a case of splenic rupture in an adult with complicated malaria by Plasmodium falciparum in which a conservative approach was used.

摘要

疟疾常伴有脾肿大。然而,自发性脾破裂是一种罕见且危及生命的并发症。它多见于非免疫成人的急性感染,大多数病例与间日疟原虫和恶性疟原虫有关。我们描述了一例由恶性疟原虫引起的成人复杂性疟疾伴脾破裂的病例,该病例采用了保守治疗方法。

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