Spontaneous rupture of malarial spleen: two case reports and review of literature

Malaria has long been among the most common diseases in the southeast Anatolia region of Turkey. In 1992, 18676 cases were diagnosed in Turkey, and Diyarbakir city had the highest incidence (4168 cases), followed by SanliUrfa city (3578 cases). Malaria was especially common during 1994 and 1995, with 84 345 and 82 094 cases being diagnosed in these years, respectively. Spontaneous rupture of malarial spleen is rare. We saw two cases during 1998, which are reported herein. Both patients were male, and were receiving chloroquine treatment for an acute attack of malaria. One of the patients had developed abdominal pain and palpitations, followed by fainting. The other patient had abdominal pain and fever. Explorative laparotomy revealed an enlarged spleen in both patients. Splenectomy was performed in both patients. We have identified 15 episodes of spontaneous rupture of the spleen in the English language literature published since 1961. Because of increased travel to endemic areas and resistance to antimalarial drugs, malaria is a major medical problem that is becoming increasingly important to surgeons worldwide. Malaria is a particularly important problem in the southeast Anatolia region of Turkey. Prophylactic precautions should be taken by tourists who travel to this region, especially during the summer.

Books & characters, French & English /

Edmons A4b.

Treasures from the prose world. With biographical sketches,

Mainly from American authors.

The prose writers of America.: With a survey of the intellectual history, condition, and prospects of the country.

Added t.-p., with vignette (portrait).

The literature of labour : illustrious instances of the education of poetry in poverty /

Introductory chapter.--Robert Nicoll, the kine herder.--John Clare, the peasant poet.--James Hogg, the Ettrick shepherd.--Thomas Cooper, the shoemaker.--Hugh Miller, the stone-mason.

More essays on books,/

"Reprinted from the Times literary supplement."

Preparatory Latin prose-book : containing all the Latin prose necessary for entering college ; with references to Kühner's and Andrews and Stoddard's Latin grammars; notes critical and explanatory; a vocabulary and a geographical and historical index /

Includes index.

Insurgent Testimonies : Witnessing Colonial Trauma in Modern and Anglophone Literature /

This book examines testimony in the works of Rebecca West, Joseph Conrad, E.M. Forster, H.G. de Lisser, V.S Reid, and Ngũgi wa Thiong’o, and argues that disruptions to imperial and national power and the legal and legal responses they inspired shape the formal practices of modernist and Anglophone literature. This title was made Open Access by libraries from around the world through Knowledge Unlatched.

The American common-place book of prose : a collection of eloquent and interesting extracts from the writings of American authors.

Includes index of authors.

Extracts from Italian prose writers.

Pref. signed: A Panizzi.

The American common-place book of prose; a collection of eloquent and interesting extracts from the writings of American authors /

Mode of access: Internet.

American patriotic prose,

Mode of access: Internet.

Nuovo scelta di prose italiane : tratte da' piu celebri scrittori moderni, con brevi notizie sopra la vita e gli scritti di ciasheduno /

La continuazione della Scelta di prose italiane.