A lethal case of Plasmodium falciparum infection in a young patient with end-stage renal failure who underwent regular hemodialysis.
Acute renal failure associated with Plasmodium falciparum infection is already well recognized. Nevertheless, end-stage chronic renal failure and falciparum malaria comorbidity is a rare condition. We report a case of Plasmodium falciparum infection in a young male Javanese patient with end-stage chronic renal failure who underwent regular hemodialysis. This rare comorbidity led to rapid deterioration of consciousness and metabolic disturbances which had already existed in end-stage renal failure. Because of the immunosuppressive condition due to organ failure, the patient did not survive despite anti-malarial chemotherapy.
Hartopo
Anggoro Budi
AB
Department of Internal Medicine, Gadjah Mada University School of Medicine, Indonesia. anggorobudih@yahoo.com
Wijisaksono
Doni Priambodo
DP
D000293:Adolescent; D000740:Anemia / Q000150:complications / Q000628:therapy; D000962:Antimalarials / Q000627:therapeutic use; D003128:Coma / Q000209:etiology; D017809:Fatal Outcome; D005921:Glomerulonephritis / Q000150:complications; D006801:Humans; D007214:Indonesia; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D016778:Malaria, Falciparum / Q000150:complications* / Q000188:drug therapy; D008297:Male; D009102:Multiple Organ Failure / Q000209:etiology; D006435:Renal Dialysis; D065227:Transfusion Reaction
D000962:Antimalarials