@article{Magro_Izzo_Saccani_Casari_Caligaris_Tomasoni_Matteelli_Lombardi_Meini_Castelli_2017, title={A strange case of Malaria in a Nigerian native boy.}, volume={9}, url={https://www.mjhid.org/mjhid/article/view/2017.023}, DOI={10.4084/mjhid.2017.023}, abstractNote={<p>The protective role of SCT in malaria endemic areas has been proved and prevalence of HbS gene in malaria endemic areas is high. Splenic infarction is a well-known complication of SCT, rarely associated with malaria. A Nigerian boy was admitted to our ward after returning from his country of origin, for <em>P. falciparum </em>malaria. He underwent abdominal US for upper right abdominal pain, showing cholecystitis and multiple splenic abscesses. Empiric antibiotic therapy was undertaken. <em>Bartonella</em>, <em>Echinococcus</em>, <em>Entamoeba </em>serologies, blood cultures, Quantiferon test, coproparasitologic exam were negative; endocarditis was excluded. He underwent further blood exams and abdomen MRI, confirming the presence of signal alterations areas, with radiographic appearance of recent post-infarction outcomes. Hemoglobin electrophoresis showed a percentage of HbS of 40.6% and a diagnosis of SCT was made.</p><p>Splenic infarction should be taken into account in patients with malaria and localized abdominal pain.  Moreover, diagnosis of SCT should be considered.</p>}, number={1}, journal={Mediterranean Journal of Hematology and Infectious Diseases}, author={Magro, Paola and Izzo, Ilaria and Saccani, Barbara and Casari, Salvatore and Caligaris, Silvio and Tomasoni, Lina Rachele and Matteelli, Alberto and Lombardi, Annamaria and Meini, Antonella and Castelli, Francesco}, year={2017}, month={Mar.}, pages={e2017023} }