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.

作者：B K, Gupta；Kapil, Sharma；K C, Nayak；T D, Agrawal；Anand, Binani；V P, Purohit；D K, Kochar

来源：Transactions of the Royal Society of Tropical Medicine and Hygiene 2010 年 104卷 1期