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Renal cortical necrosis: A rare complication of Plasmodium vivax malaria
R Kumar1, N Bansal1, R Jhorawat1
1Senior Residents, Department of Nephrology, SMS Medical College, Jaipur, Rajasthan, India.
Abstract:
A young female with Plasmodium vivax malaria presented with anemia, hyperbilirubinemia, thrombocytopenia, and advanced renal failure. She remained anuric for more than 3 weeks. Kidney biopsy confirmed the diagnosis of acute cortical necrosis. During follow-up, she became dialysis independent, but remained in stage 4 chronic kidney disease (CKD) at 3 month. P. vivax is supposed to be benign in nature, but can lead to rare and severe complication like renal cortical necrosis and progress to CKD.
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