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August 25, 1945

SPONTANEOUS RUPTURE OF THE SPLEEN IN MALARIA: FATAL CASE

JAMA. 1945;128(17):1227-1229. doi:10.1001/jama.1945.92860340003007b
Abstract

A case report of spontaneous rupture of the spleen during a malarial paroxysm is presented to draw attention to this unusual complication of malaria. The incidence of splenic rupture in malaria is rare. Sporadic cases have been reported from the tropics1 as complications of chronic malaria or of malignant tertian malaria (Plasmodium falciparum). This case is unusual in that it occurred in New England in a relapse of benign tertian malaria (Plasmodium vivax) which had been of relatively short duration.

REPORT OF CASE  A white man aged 28, a medical technician, was admitted to the A. A. F. Regional Station Hospital, Westover Field, at 4 p. m. on April 22, 1944 complaining of chills, fever and vomiting. His present illness began on April 19, three days prior, to admission, with drowsiness, fever, chills and low backache, which the patient attributed to a recurrence of malaria and for which he took

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