Unrecognized malaria and its consequences--a case report of severe malaria with acute renal failure.
Severe malaria is a medical emergency that requires urgent recognition and treatment, because it may rapidly progress to serious complications and death. We report a case of imported severe malaria tropica in an adult traveller, with a parasitemia of 20%, complicated by acute renal failure. Patient was initially misdiagnosed by a physician unaware of the importance of patients travel history, as having a viral infection. Despite the treatment delay, the patient was successfully cured with parenteral artemether combined with peroral mefloquine and vigorous supportive measures including renal replacement therapy.
University of Rijeka, Rijeka University Hospital Center, Clinic for Infectious Diseases, Rijeka, Croatia. biserka.troselj-vukic@medri.hr
Biserka
B
Troselj-Vukić
Sretenka
S
Vuksanović-Mikulicić
Branka
B
Sladoje-Martinović
Irena
I
Milotić
Irena
I
Slavuljica
D058186:Acute Kidney Injury / Q000209:etiology* / Q000469:parasitology*; D003951:Diagnostic Errors; D006801:Humans; D008288:Malaria / Q000150:complications* / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index