AI Article Synopsis

  • Hyper-reactive malarial splenomegaly (HMS) is characterized by major splenomegaly, elevated IgM and antimalarial antibodies, and a positive response to treatment.
  • Although malaria is widespread in Pakistan, cases of HMS are rare.
  • This report discusses a patient with large spleen size and malaria infection, noting the inconsistency with typical HMS diagnostic criteria and providing a brief overview of HMS.

Article Abstract

Hyper-reactive malarial splenomegaly (HMS) is diagnosed by the presence of massive splenomegaly, raised IgM and antimalarial antibodies and a response to antimalarial therapy. Although malaria is endemic to Pakistan, HMS is uncommon. We report on HMS in a patient with massive splenomegaly, positive Plasmodium falciparum polymerase chain reaction but normal immunoglobulin M antibody levels. The investigations were not consistent with any other diagnosis. HMS is also briefly reviewed.

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Source
http://dx.doi.org/10.1177/0049475512473602DOI Listing

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