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Indian Journal of Critical Care Medicine
Medknow Publications on behalf of the Indian Society of Critical Care Medicine
ISSN: 0972-5229
EISSN: 1998-359x
Vol. 13, No. 2, 2009, pp. 103-105
Bioline Code: cm09024
Full paper language: English
Document type: Case Report
Document available free of charge

Indian Journal of Critical Care Medicine, Vol. 13, No. 2, 2009, pp. 103-105

 en Plasmodium vivax check for this species in other resources malaria: An unusual presentation
Kasliwal, Prasad; Rao, Manimala S & Kujur, Rash

Abstract

Acute renal failure, disseminated intravascular coagulation (DIC), acute respiratory distress syndrome (ARDS), hypoglycemia, coma, or epileptic seizures are manifestations of severe Plasmodium falciparum malaria. On the other hand, Plasmodium vivax check for this species in other resources malaria seldom results in pulmonary damage, and pulmonary complications are exceedingly rare. We report the case of a 42-year-old male living in a malaria-endemic area who presented with ARDS and was diagnosed as having Plasmodium vivax malaria. A diagnosis of Plasmodium vivax malaria was established by a positive Plasmodium LDH immunochromatographic assay while a negative PfHRP2 based assay ruled out P. falciparum malaria. After specific anti-plasmodial therapy and intensive supportive care, the patient recovered and was discharged from hospital. The use of NIPPV in vivax-malaria related ARDS was associated with a good outcome.

Keywords
Acute respiratory distress syndrome, Plasmodium vivax, PfHRP-2, NIV

 
© Copyright 2009 Indian Journal of Critical Care Medicine.
Alternative site location: http://www.ijccm.org/

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