Acute Plasmodium falciparum Malaria Following Splenectomy for Suspected Lymphoma in 2 Patients
Author(s) -
F. Bidegain,
Antoine Berry,
Muriel Alvarez,
O. Verhille,
Françoise Huguet,
Pierre Brousset,
J Pris,
B. Marchou,
JeanFrançois Magnaval
Publication year - 2005
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/430061
Subject(s) - medicine , splenectomy , malaria , lymphoma , malignant lymphoma , plasmodium falciparum , immunology , lymphoproliferative disorders , spleen
Two black African immigrants, with no history of recent travel outside France, received a diagnosis of a malignant lymphoproliferative disorder and splenomegaly, and they subsequently underwent splenectomy. A few weeks after surgery, both patients experienced an acute episode of Plasmodium falciparum malaria, so the initial diagnosis was corrected retrospectively and changed to hyperreactive malarial splenomegaly. These cases illustrate the difficulty in distinguishing hyperreactive malarial splenomegaly from malignant lymphoproliferative disorders and therefore underline the role of the spleen in the immune system's defense against malaria.
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