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Multiorgan dysfunction in Plasmodium vivax malaria complicated by a ruptured spleen
Malaria can be diagnosed and treated in 48 hours; however, complications such as splenic rupture, although rare, can still occur. Infections caused by Plasmodium vivax are usually benign and complications are uncommon. A 29-year-old Pakistani male driver with no past medical history of malaria presented to Rashid Hospital, United Arab Emirates, having suffered epigastric pain, vomiting, diarrhoea and fever for 1 day. After serial investigations he was diagnosed as having P. vivax malaria, which was complicated by a ruptured spleen. Later he developed shock as a result of the splenic rupture and hypovolaemia. Urgent laparotomy was performed and splenectomy undertaken to secure haemostasis. The patient was discharged after 28 days following treatment of his initial symptoms and when his condition had stabilized.