Respiratory distress in nonimmune adults with imported malaria.
Acute respiratory distress (ARD) in two nonimmune adults with imported mixed and vivax malarial infections with low and resolving parasite load is described. Malarial pulmonary edema exacerbated by hypoalbuminemia and fluid redistribution without overload occurred in the latter patient. ARD led to mortality in one of the two. ARD should be promptly recognized and managed.
Habib
A G
AG
Infectious Diseases Unit, Dept. of Medicine, National University Hospital, 5 Lower Kent Ridge Road, 119074 Singapore, Singapore. abdulrazaq_habib@hotmail.com
Singh
K S
KS
D017809:Fatal Outcome; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D016778:Malaria, Falciparum / Q000150:complications*; D016780:Malaria, Vivax / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011654:Pulmonary Edema / Q000209:etiology; D012128:Respiratory Distress Syndrome / Q000209:etiology* / Q000473:pathology