Retinal hemorrhage in Plasmodium vivax malaria.
Retinal hemorrhage is a frequently observed sign in Plasmodium falciparum infection. In Plasmodium vivax infection, however, retinal hemorrhage is very rare; only five cases have been reported in the literature. In this case report, we review the literature and the case of 52-year-old man who had retinal hemorrhages in P. vivax infection. We analyzed the structural characteristics of the lesions using fluorescein angiography and spectral-domain optical coherence tomography. Physicians should be aware of the possibility of retinal hemorrhage in malaria patients, even those with P. vivax infection, and should consider a diagnosis of malaria in a patient with unexplained retinal hemorrhage and fever.
Lee
Ji Hwan
JH
Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. leejihwan@yuhs.ac
Chin
Hee Seung
HS
Chung
Moon-Hyun
MH
Moon
Yeon Sook
YS
D000962:Antimalarials / Q000627:therapeutic use; D002738:Chloroquine / Q000627:therapeutic use; D006801:Humans; D016780:Malaria, Vivax / Q000150:complications* / Q000188:drug therapy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010966:Plasmodium vivax / Q000302:isolation & purification; D011319:Primaquine / Q000627:therapeutic use; D056910:Republic of Korea / Q000453:epidemiology; D012166:Retinal Hemorrhage / Q000209:etiology* / Q000469:parasitology
D000962:Antimalarials; D002738:Chloroquine; D011319:Primaquine