title: Atypical Plasmodium vivax malaria in a traveler: bilateral hydronephrosis, severe thrombocytopenia, and hypotension.
abstract: We report a case of Plasmodium vivax infection manifested as severe thrombocytopenia, bilateral hydronephrosis, and hypotension in a returning traveler from a malaria-endemic area in Venezuela. While most of the efforts to prevent malaria in travelers focus on the life-threatening consequences of Plasmodium falciparum malaria, nonimmune travelers who encounter infection with P vivax may also develop serious complications. This case highlights the importance of preventing malaria cases among nonimmune or semi-immune individuals traveling to P vivax-endemic areas.
authors.affiliation: Internal Medicine, Hosipital de Emergencia Pérez de León, Caracas, Venezuela.
authors.forename: Pedro M
authors.initials: PM
authors.lastname: Rifakis
authors.forename: Osdalys
authors.initials: O
authors.lastname: Hernandez
authors.forename: Carmen T
authors.initials: CT
authors.lastname: Fernández
authors.forename: Alfonso J
authors.initials: AJ
authors.lastname: Rodriguez-Morales
authors.forename: Anna
authors.initials: A
authors.lastname: Von
authors.forename: Carlos
authors.initials: C
authors.lastname: Franco-Paredes
mesh_terms: D000328:Adult; D000818:Animals; D000962:Antimalarials / Q000008:administration & dosage; D002738:Chloroquine / Q000008:administration & dosage; D006801:Humans; D006869:Hydronephrosis / Q000188:drug therapy / Q000469:parasitology*; D007022:Hypotension / Q000188:drug therapy / Q000469:parasitology*; D016780:Malaria, Vivax / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D010966:Plasmodium vivax / Q000302:isolation & purification*; D011319:Primaquine / Q000008:administration & dosage; D013921:Thrombocytopenia / Q000188:drug therapy / Q000469:parasitology*; D014195:Travel; D016896:Treatment Outcome; D014687:Venezuela
chemical_list: D000962:Antimalarials; D002738:Chloroquine; D011319:Primaquine