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Wien Klin Wochenschr. 2016 Jan;128(1-2):74-7. doi: 10.1007/s00508-015-0888-2. Epub 2015 Nov 5.

Case report: spontaneous rupture of spleen in patient with Plasmodium ovale malaria.

Author information

1
Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. raphael@lemmerer.at.
2
Division of Rheumatology, Department of Medicine III, Medical University of Vienna, Vienna, Austria. manuel.unger@meduniwien.ac.at.
3
Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. matthias.vossen@meduniwien.ac.at.
4
Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. christina.a.forstner@meduniwien.ac.at.
5
Center for Infectious Diseases and Infection Control, Jena University Hospital, Jena, Germany. christina.a.forstner@meduniwien.ac.at.
6
Division of Immunology, Allergy and Infectious Diseases (DIAID), Department of Dermatology, Vienna General Hospital, Medical University Vienna, Vienna, Austria. ahmad.jalili@meduniwien.ac.at.
7
Department of Hospital Hygiene and Infection Control, Vienna General Hospital, Medical University Vienna, Vienna, Austria. peter.starzengruber@meduniwien.ac.at.
8
Division of Nephrology and Dialysis, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria. johannes.werzowa@meduniwien.ac.at.
9
Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. michael.ramharter@meduniwien.ac.at.
10
Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. stefan.winkler@meduniwien.ac.at.
11
Division of Infectious Diseases and Tropical Medicine, Department of Medicine I, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. florian.thalhammer@meduniwien.ac.at.

Abstract

Malaria may lead to spontaneous splenic rupture as a rare but potentially lethal complication. Most frequently, this has been reported in patients infected with Plasmodium falciparum and Plasmodium vivax, while other parasitic agents are less likely to be the cause.We report a 29-year-old British Caucasian, who after returning from a business trip in Democratic Republic Congo was diagnosed with tertian malaria caused by Plasmodium ovale.During his in-patient stay, the patient suffered a splenic rupture requiring immediate surgical intervention and splenectomy. Following this surgical intervention, there was an uneventful recovery, and the patient was discharged in a good general condition.

PMID:
26542132
DOI:
10.1007/s00508-015-0888-2
[Indexed for MEDLINE]

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