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[Blackwater fever: a case report].

Pomier Suárez Olga1, Daniel F Peŕez Correa

  • 1Instituto de Medicina Tropical "Pedro Kourí", Ciudad de La Habana, Cuba. ciipk@ipk.sld.cu

Revista Cubana De Medicina Tropical
|April 27, 2005
PubMed
Summary

Blackwater fever, a severe Plasmodium falciparum malaria complication, can cause kidney failure. Prompt supportive care and interventions like dialysis are crucial for patient recovery.

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Area of Science:

  • Tropical Medicine
  • Infectious Diseases
  • Hematology

Background:

  • Blackwater fever is a rare, severe complication of Plasmodium falciparum malaria.
  • It presents with fever, hemoglobinuria, and acute kidney injury, often with high mortality.

Observation:

  • A patient from Angola with a history of malaria presented with fever and jaundice.
  • Initial treatment with quinine for Plasmodium falciparum malaria led to worsening hemoglobinuria and jaundice.

Findings:

  • Quinine treatment was discontinued due to adverse effects.
  • Supportive care, including blood transfusions, hemodialysis, and plasmapheresis, was initiated.
  • The patient recovered and was discharged asymptomatic with a negative malaria test.

Implications:

  • This case highlights the critical importance of symptomatic and maintenance treatment in managing blackwater fever.
  • Understanding the pathogeny, particularly kidney failure, is essential for effective patient management.
  • Early recognition and aggressive supportive care can improve outcomes in severe malaria complications.

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