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[Malaria and retinal hemorrhages].

M Dupon1, M C Paty, F Kuhne

  • 1Service des Maladies Infectieuses et Médecine Interne, Hôpital Pellegrin, Bordeaux.

Medecine Tropicale : Revue Du Corps De Sante Colonial
|April 1, 1990
PubMed
Summary
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A traveler developed Plasmodium falciparum malaria with retinal hemorrhages despite chloroquine prophylaxis. Mefloquine treatment led to rapid clinical and visual recovery, highlighting an unusual malaria complication.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Tropical Medicine

Background:

  • Malaria, a parasitic disease, can present with diverse clinical manifestations.
  • Retinal involvement in malaria is rare but can lead to significant visual impairment.

Observation:

  • A 24-year-old woman returning from Cameroon presented with retinal hemorrhages.
  • She had taken chloroquine for malaria chemoprophylaxis.
  • Diagnosis was Plasmodium falciparum malaria, complicated by anemia and splenomegaly with low parasitemia.

Findings:

  • The patient received mefloquine therapy for malaria.
  • Prompt clinical and ophthalmological recovery was observed following treatment.
  • This case highlights an uncommon presentation of retinal damage in malaria.

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Implications:

  • This case underscores the importance of considering malaria in febrile travelers, even with chemoprophylaxis.
  • It emphasizes the potential for severe ocular manifestations in malaria.
  • Effective treatment with mefloquine suggests its utility in managing complicated malaria cases with retinal involvement.