title: Nephrotic syndrome and unrecognized Plasmodium malariae infection in a US Navy sailor 14 years after departing Nigeria.
abstract: A 34-year-old Nigerian man presented with nephrotic syndrome. Renal biopsy revealed chronic membranous glomerulopathy with focal segmental sclerosis. Blood Giemsa smear contained rare Plasmodium sp. trophozoites and small subunit ribosomal RNA polymerase chain reaction amplification confirmed the presence of Plasmodium malariae. This case highlights the importance of obtaining even remote travel histories from ill immigrants and considering occult quartan malaria in patients from endemic locations with nephrotic syndrome.
authors: Infectious Diseases Division, Internal Medicine Department, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708, USA. Richard.hedelius@med.navy.mil
authors: Richard
authors: R
authors: Hedelius
authors: James J
authors: JJ
authors: Fletcher
authors: William F
authors: WF
authors: Glass
authors: Augustina I
authors: AI
authors: Susanti
authors: Jason D
authors: JD
authors: Maguire
mesh_terms: D000328:Adult; D006801:Humans; D008288:Malaria / Q000150:complications*; D008297:Male; D008889:Military Personnel; D009404:Nephrotic Syndrome / Q000175:diagnosis / Q000469:parasitology*; D009549:Nigeria; D010965:Plasmodium malariae / Q000302:isolation & purification; D016133:Polymerase Chain Reaction; D014481:United States