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A Simple Protocol for Platelet-mediated Clumping of Plasmodium falciparum-infected Erythrocytes in a Resource Poor Setting
Published on: May 16, 2013
Subdural haematoma in Plasmodium falciparum and Plasmodium vivax mixed infection presenting multiple clinical
Punith B Devaraju1, Shashiraja Padukone1, Shivakumar R Veerabhadraiah1
1Department of Biochemistry, Kuvempu University, Shankaraghatta-577451, Shimoga, India.
Abstract:
A 40-year-old man was admitted to hospital with a 5 day history of fever, restlessness and altered sensorium. Peripheral blood smears showed a Plasmodium vivax and Plasmodium falciparum mixed infection as revealed by the presence of rings, schizonts and gametocyte forms of the parasites. The patient soon became unconscious due to subdural haematoma (SDH) associated with disseminated intravascular coagulation and thrombocytopenia. Immediate intervention with a right fronto-parieto temporal craniectomy, evacuation of the SDH and intravenous quinine administration resulted in the patient's complete recovery within 8 days of admission, and he was discharged in good clinical condition.
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