Acute renal failure in Plasmodium malariae infection.
We report an unusual case of transfusion-transmitted malaria which remained undiagnosed for several months in an Italian woman splenectomised and polytransfused for thalassaemia major. The infecting species was Plasmodium malariae, and the patient developed acute renal failure, severe thrombocytopenia, and hepatic failure. Treatment with chlorochine was followed by a slow, but complete recovery of renal function.
Neri
S
S
Department of Internal Medicine, Unit of Nephrology, University of Catania, Catania, Italy. sergio.neri4@tin.it
Pulvirenti
D
D
Patamia
I
I
Zoccolo
A
A
Castellino
P
P
D058186:Acute Kidney Injury / Q000175:diagnosis / Q000469:parasitology*; D000328:Adult; D000818:Animals; D000962:Antimalarials / Q000627:therapeutic use; D002738:Chloroquine / Q000627:therapeutic use; D005260:Female; D006801:Humans; D017093:Liver Failure / Q000469:parasitology; D008288:Malaria / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D010965:Plasmodium malariae / Q000302:isolation & purification*; D013921:Thrombocytopenia / Q000469:parasitology
D000962:Antimalarials; D002738:Chloroquine