Central diabetes insipidus in a patient with malaria tropica.
Up to 21% of severe cases of malaria tropica are associated with polyuria and are life-threatening. We describe a 39-yr-old man with malaria tropica who developed disseminated intravascular coagulation, polyuria, and a pituitary lesion. Empiric treatment with vasopressin improved the polyuria. This is the first case of malaria tropica in which central diabetes insipidus has been documented.
Schubert
S
S
Division of Infectious Diseases and Tropical Medicine, University Medical Center of Leipzig, Leipzig, Germany.
Achenbach
H
H
Engelmann
L
L
Borte
G
G
Stumvoll
M
M
Koch
C A
CA