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Plasmodium vivax malaria: an unusual presentation
Prasad Kasliwal1, Manimala S Rao, Rash Kujur
1Department of Critical Care, Yashoda Hospital, Somajiguda, Hyderabad, India.
Summary
Severe Plasmodium vivax malaria can cause acute respiratory distress syndrome (ARDS), a rare pulmonary complication. This case highlights successful treatment with anti-malarial therapy and non-invasive positive pressure ventilation (NIPPV).
Area of Science:
- Infectious Diseases
- Pulmonology
- Tropical Medicine
Background:
- Severe Plasmodium falciparum malaria is known for systemic complications like acute renal failure, DIC, ARDS, hypoglycemia, coma, and seizures.
- Pulmonary damage and complications are rare in Plasmodium vivax malaria.
Observation:
- A 42-year-old male from a malaria-endemic region presented with ARDS.
- Plasmodium vivax malaria was diagnosed using a Plasmodium LDH immunochromatographic assay.
- A negative PfHRP2 assay excluded Plasmodium falciparum malaria.
Findings:
- The patient recovered after receiving specific anti-malarial treatment and intensive supportive care.
- Non-invasive positive pressure ventilation (NIPPV) was utilized for ARDS management.
- The use of NIPPV in this case of vivax-malaria-related ARDS was associated with a positive outcome.
Implications:
- This case expands the understanding of potential severe manifestations of Plasmodium vivax malaria.
- It underscores the importance of considering Plasmodium vivax in differential diagnoses for ARDS in endemic areas.
- The successful use of NIPPV suggests its potential role in managing vivax-malaria-induced ARDS.
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