비장파열 또는 비장경색을 동반한 삼일열 말라리아 2예의 경험
Two Cases of Vivax Malaria Accompanied by Splenic Complications(such as splenic rupture and splenic infarction)
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말라리아 감염에 의한 비장의 구조적 변화로 무증상의 비장종대부터 자발성 비장파열, 비장혈종, 비장낭종, 비장염전, 비장경색 등의 다양한 합병증이 발생할 수 있는데, 저자들은 국내에서는 아직 드물게 나타나는 비장파열과 비장경색을 경험하였기에 문헌고찰과 함께 보고한다.
Abstract
Malaria is a protozoan disease transmitted by Anopheles mosquitoes. Since Plasmodium vivax malaria reemerged in the north west areas of South Korea in 1993, many cases with various manifestations have been reported. Clinicians should be aware of the rare and severe complications as well as the common complications. Splenic complications such as hematoma formation, rupture, torsion, cyst formation, and infarction are unusual manifestations of tertian malaria; therefore, we present two cases of P. vivax malaria with severe splenic complications with review of literature. One had a splenic infarction and the other had a splenic rupture, which was diagnosed by computed tomography. Both patients were successfully treated with a conservative approach.
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