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Unrecognized malaria and its consequences--a case report of severe malaria with acute renal failure
Biserka Troselj-Vukić1, Sretenka Vuksanović-Mikulicić, Branka Sladoje-Martinović
1University of Rijeka, Rijeka University Hospital Center, Clinic for Infectious Diseases, Rijeka, Croatia. biserka.troselj-vukic@medri.hr
Abstract:
Severe malaria is a medical emergency that requires urgent recognition and treatment, because it may rapidly progress to serious complications and death. We report a case of imported severe malaria tropica in an adult traveller, with a parasitemia of 20%, complicated by acute renal failure. Patient was initially misdiagnosed by a physician unaware of the importance of patients travel history, as having a viral infection. Despite the treatment delay, the patient was successfully cured with parenteral artemether combined with peroral mefloquine and vigorous supportive measures including renal replacement therapy.
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