Unusual presentation of vivax malaria with anaemia, thrombocytopenia, jaundice, renal disturbance, and melena: a report from malang, a nonendemic area in indonesia.
Most of the complications of malaria such as anaemia, thrombocytopenia, jaundice, and renal failure are commonly found in Plasmodium falciparum malaria, but the incidence of severe and complicated vivax malaria tends to be increasing. We report two cases of severe Plasmodium vivax malaria from Malang, a nonendemic area in Indonesia. Patients exhibited anaemia, thrombocytopenia, jaundice, renal disturbance, and melena. Microscopic peripheral blood examination and amplification of parasite 18s rRNA by polymerase chain reaction showed the presence of P. vivax and absence of P. falciparum. All patients responded well to antimalarial drugs.
Department of Parasitology, Faculty of Medicine, University of Brawijaya, Jalan Veteran Malang, East Java 65145, Indonesia.
Loeki Enggar
LE
Fitri
Department of Parasitology, Faculty of Medicine, University of Brawijaya, Jalan Veteran Malang, East Java 65145, Indonesia.
Teguh Wahju
TW
Sardjono
Department of Parasitology, Faculty of Medicine, University of Jember, Jalan Kalimantan 37 Kampus Tegalboto, Jember East Java 68121, Indonesia.
Bagus
B
Hermansyah
Department of Internal Medicine, Dr. Saiful Anwar Hospital/Faculty of Medicine, University of Brawijaya, Jalan Veteran Malang, East Java 65145, Indonesia.
Didi
D
Candradikusuma
Division of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich (LMU), Leopoldstrasse 5, 80802 Munich, Germany.
Nicole
N
Berens-Riha