Acral necrosis in a 62-year-old female after travelling to Equatorial Guinea
Aiman Gamal Abdelrahim1, Julian Schulze Zur Wiesch2,3, Michael Ramharter2,3,4
1I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. A.Abdelrahim@uke.de.
Infection
|April 24, 2025
Abstract:
A previously healthy 62-year-old woman presented to our clinic after a two-day stay in Equatorial Guinea. Her symptoms included fevers, fatigue and headache. Diagnostics revealed a complicated falciparum malaria. During the course of her antimalaria treatment she developed acral necrosis on all of her extremities, likely because of impaired microcirculation. It is a rare complication of a severe malaria infection captured in these images.


