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  • Title: A case series of splenic infarction during acute malaria in northwest Rajasthan, India.
    Author: Gupta BK, Sharma K, Nayak KC, Agrawal TD, Binani A, Purohit VP, Kochar DK.
    Journal: Trans R Soc Trop Med Hyg; 2010 Jan; 104(1):81-3. PubMed ID: 19709707.
    Abstract:
    Malaria is a rare cause of splenic infarction. Only a few cases have been reported worldwide, mostly associated with Plasmodium falciparum infection. Here we report a series of four acute malaria patients with splenic infarction, two with P. vivax infection, one with P. falciparum and one with a mixed infection (P. vivax and P. falciparum). This small case series suggests that if a patient with malaria is complaining of left upper quadrant abdominal pain, pleuritic left lower chest pain and/or enlarging tender splenomegaly during treatment, splenic infarct should be suspected and managed accordingly to avoid further life-threatening complications.
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