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[ARDS in plasmodium vivax malaria]

A Perren1, F Beretta, P Schubarth

  • 1Servizio di Cure Intense, Ospedale San Giovanni, Bellinzona.

Schweizerische Medizinische Wochenschrift
|August 6, 1998
PubMed
Summary

Plasmodium vivax malaria, typically benign, can present with severe complications. Bacterial coinfection and mixed Plasmodium infections require prompt diagnosis and treatment for better outcomes.

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Area of Science:

  • Infectious Diseases
  • Tropical Medicine
  • Hematology

Background:

  • Plasmodium falciparum malaria is known for severe manifestations like acute renal failure and ARDS.
  • Plasmodium vivax malaria (benign tertian malaria) is generally considered uncomplicated.
  • This report details an unusual case of severe, complicated acute tertian malaria.

Observation:

  • A case of acute tertian malaria presented with a severe and complicated clinical course.
  • Bacterial coinfection was suspected and empirical broad-spectrum antibiotic treatment was initiated.
  • Mixed Plasmodium infections (P. vivax and P. falciparum) were considered and excluded through meticulous blood smear examination.

Findings:

  • Acute tertian malaria can manifest with severe complications, challenging its typical benign classification.
  • Prompt empirical treatment for bacterial coinfection is crucial in severe malaria cases.
  • Distinguishing between single and mixed Plasmodium infections is vital for appropriate management.

Implications:

  • Highlights the potential for severe presentations of Plasmodium vivax malaria.
  • Emphasizes the importance of considering bacterial coinfection in severe malaria.
  • Underscores the need for accurate diagnostic methods, including advanced techniques like PCR, for Plasmodium species identification.

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