Abstract

RODRIGUEZ PERON, José Miguel; LOPEZ HERNANDEZ, Lázaro Ricardo  and  COLUMBIE GONZALEZ, Roberto. Spontaneous splenic rupture as a complication in plasmodium falciparum acute severe malaria. Rev Cub Med Mil [online]. 2019, vol.48, n.1  Epub Mar 01, 2019. ISSN 1561-3046.

We present a clinical case of a patient with spontaneous rupture of the spleen, as a serious and uncommon complication of acute malaria. This complication can occur from the first week of illness and its late diagnosis is potentially fatal. It should be suspected in all patients with severe malaria, who evolutionarily present an acute abdomen and signs of hypovolemic shock. Medical or surgical management will depend on the extent of the rupture and hemodynamic status of the patient. The case is presented due to the severity and low frequency of this complication.

Keywords : Plasmodium Falciparum; malaria complications; splenic rupture; spleen rupture.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )