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Published on: February 6, 2021
[Status febrilis and unconsciousness]
1Medizinische Klinik B, Universitätsspital Basel, Schweiz.
Abstract:
Cerebral malaria with Plasmodium vivax is uncommon. Normally Plasmodium falciparum is the cause of cerebral malaria. We report about a 18 year old patient from Pakistan with a history of intermittent fever for several months. The patient recovered within a few days; however prognosis can be severe when cerebral malaria is complicating the course of Plasmodium vivax infection.
Insights
Cerebral malaria is typically caused by Plasmodium falciparum, but this case highlights Plasmodium vivax as a rare cause. While the patient recovered, Plasmodium vivax cerebral malaria can have severe outcomes.
Area of Science:
- Infectious Diseases
- Tropical Medicine
- Parasitology
Background:
- Cerebral malaria is a severe neurological complication predominantly associated with Plasmodium falciparum infections.
- Plasmodium vivax is generally considered to have a lower risk of causing severe malaria, including cerebral malaria.
- Understanding the spectrum of Plasmodium species causing severe malaria is crucial for accurate diagnosis and treatment.
Observation:
- A rare case of cerebral malaria in an 18-year-old patient from Pakistan is presented.
- The patient experienced several months of intermittent fever prior to presentation.
- The cerebral malaria was attributed to Plasmodium vivax infection.
Findings:
- This report documents an uncommon presentation of cerebral malaria caused by Plasmodium vivax.
- The patient demonstrated a favorable short-term recovery.
- The case underscores that Plasmodium vivax can lead to severe neurological complications.
Implications:
- Clinicians should consider Plasmodium vivax in the differential diagnosis of cerebral malaria, especially in endemic regions.
- The potential for severe outcomes necessitates vigilance and prompt management of Plasmodium vivax infections.
- Further research is warranted to elucidate the mechanisms and risk factors for severe Plasmodium vivax malaria.
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