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09:00
A Multi-detection Assay for Malaria Transmitting Mosquitoes
Published on: February 28, 2015
[Algid malaria: a syndromic diagnosis]
Marcus Vinícius Guimarães de Lacerda1, Maria Paula Gomes Mourão, Pablo José Tomé dos Santos
1Fundação de Medicina Tropical do Amazonas, Manaus, AM. marcuslacerda@uol.com.br
Revista Da Sociedade Brasileira De Medicina Tropical
|March 17, 2009
Summary
Severe malaria (Plasmodium falciparum) progressing to shock syndrome can improve with intensive care unit hemodynamic support alone. Algid malaria requires a syndromic diagnosis considering dehydration, infection, bleeding, or adrenal insufficiency.
Area of Science:
- Infectious Diseases
- Critical Care Medicine
- Tropical Medicine
Background:
- Plasmodium falciparum malaria can lead to severe complications, including shock syndrome.
- Algid malaria, characterized by circulatory collapse, presents a diagnostic challenge.
Observation:
- Two patients with Plasmodium falciparum malaria developed shock syndrome.
- These patients received intensive care unit (ICU) hemodynamic support without antibiotic treatment.
Findings:
- Both patients demonstrated clinical improvement following hemodynamic support alone.
- This suggests that shock in these cases was not solely driven by bacterial infection.
Implications:
- Algid malaria should be approached as a syndrome with diverse potential etiologies.
- Management should consider dehydration, bacterial infection, bleeding, and adrenal insufficiency.
- Hemodynamic support is a critical component in managing severe malaria with shock.
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