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Splenic Infarction in Plasmodium vivax Infection in South Korea

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  • 1 Department of Infectious Disease, Inha University School of Medicine, Incheon, Republic of Korea;
  • | 2 Department of Infectious Disease, Jeju University Hospital, Jeju, Republic of Korea;
  • | 3 Department of Emergency Medicine, Inha University School of Medicine, Incheon, Republic of Korea;
  • | 4 Division of Critical Care Medicine, Department of Hospital Medicine, Inha University School of Medicine, Incheon, Republic of Korea

Splenic infarction caused by malaria can be fatal, but its incidence and clinical presentation are not well-known. Thus, we investigated the prevalence and characteristics of splenic complications in patients with vivax malaria from 2005 to 2017 in a university hospital. Among 273 patients who were diagnosed with Plasmodium vivax infection by blood smear, 92 underwent abdominal computed tomography or ultrasonography. Twelve patients had splenic infarction. All patients with splenic infarction recovered after treatment with antimalarial drugs, without surgery and intervention. Although anemia and prolonged fever may be risk factors for splenic infarction, the incidence of these events was insufficient for a detailed analysis.

Author Notes

Address correspondence to Man-Jong Lee or Ji Hyeon Baek, 7–206, Shinheung-Dong, Jung-Gu, Incheon 400–711, Republic of Korea. E-mails: likeavirgin@daum.net or jhbaek@inha.ac.kr

Authors’ addresses: Jae Hyoung Im, Hea Yoon Kwon, Jin-Soo Lee, and Ji Hyeon Baek, Department of Internal Medicine, Inha University College of Medicine, Incheon, Republic of Korea, E-mails: dylife83@naver.com, haeyoon85@hanmail.net, ljinsoo@inha.ac.kr, and jhbaek18@gmail.com. Moon-Hyun Chung, Department of Infectious Disease Seogwipo, Seogwipo Medical Center, Jeju, Republic of Korea, E-mail: mhchungid@daum.net. Areum Durey, Department of Emergency Medicine, Inha University College of Medicine, Incheon, Republic of Korea, E-mail: sdzfaw@naver.com. Man-Jong Lee, Division of Critical Care Medicine, Department of Hospital Medicine, Inha University Hospital, Incheon, Republic of Korea, E-mail: likeavirgin@daum.net.

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