Plasmodium Vivax Malaria; Not so Innocent!
Journal Title: The Indian Practitioner - Year 2018, Vol 71, Issue 6
Abstract
Plasmodium Vivax Malaria is one of the prevalent causes of Acute febrile illness in India. It is caused by the bite of a female Anopheles mosquito. Though considered a relatively less aggressive malaria in the past, it is increasingly noticed to have many serious complications like that of Falciparum malaria. We studied the complications in 50 Plasmodium vivax admitted cases. Vivax malaria was diagnosed in a patient suffering from acute fever of less than 7 days and showed plasmodium vivax malaria parasite in the peripheral smear and/or was positive for vivax malaria by rapid malarial test. We conclude that complications like cerebral malaria, acute respiratory distress syndrome, acute kidney injury, hypoglycemia, anaemia and thrombocytopenia can occur in Vivax malaria as well. 56% of patients had platelet count of less than 75000 cells/microlit while only one patient had a platelet count of less than 25000 cells/microlit. Recognising and initiating early treatment of these complications can reduce the mortality and morbidity in these patients. Vivax malaria may also need treatment by artesunate as like falciparum malaria.
Authors and Affiliations
Priti Dave, Mushtaque MD, Shriraj Pawar, Kevin Bora, Abhishek Lahoti
A rare presentation of viable intrauterine pregnancy with coexisting complete molar pregnancy in a uterus didelphys
Complete hydatidiform mole with co-existing live intrauterine fetus is an extremely rare event. Mullerian anomalies such as uterus didelphys are uncommon variants of normal anatomy. Uterus didelphys is one of the congeni...
HIV And Cancer
Malignancies in Human Immunodeficiency Virus (HIV) are divided into AIDS defining and non AIDs-defining. In the Highly Active Antiretroviral Therapy (HAART)-era the incidence of non AIDs-defining malignancies are increas...
Emphysematous Cystitis associated with E. coli
We report a case of a middle-aged, poorly controlled, 71 year old diabetic female who presented with dysuria, fever, vomiting and hematuria and was found to have Escherichia coli emphysematous cystitis that resolved with...
Chorea: A Rare Presentation of Vivax Malaria
Malaria is now being reported with unusual manifestations because of increasing resistance, indiscriminate use of antimalarial drugs and development of immunity. Chorea is one of the rare complication of falciparum malar...
Resistance pattern of Klebsiella from urinary tract infections in a tertiary care hospital
Urinary Tract Infection (UTI) is the most prevalent infection worldwide both in males and females. Klebsiella is one of the major pathogens causing UTI. Emerging antibiotic resistance due to extended spectrum β-lactamase...