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J Med Microbiol 53 (2004), 1255-1258; DOI: 10.1099/jmm.0.05428-0
© 2004 Society for General Microbiology
ISSN 0022-2615

Splenic complications in malaria: report of two cases from Turkey

M F Ozsoy1, O Oncul1, Z Pekkafali2, A Pahsa1 and O S Yenen1

Departments of Infectious Diseases1 and Radiodiagnostic Radiology2, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey

Correspondence O. Oncul oraloncul{at}hotmail.com

Received August 14, 2003
Accepted July 5, 2004

Malaria is still a major health problem in Turkey, where Plasmodium vivax malaria is endemic. Spontaneous rupture of the spleen is an important and life-threatening complication and occurs in up to an estimated 2 % of cases. Hence the small number of case reports suggests under-reporting or underdiagnosis. Review articles have reported only 18 malaria cases with spontaneous splenic rupture in the English language literature since 1960. Two cases of P. vivax malaria with splenic complications are reported here. One of them showed signs and symptoms of acute abdominal pain, then splenic rupture occurred.






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