Malaria retinopathy and cerebellitis in a 9-year-old boy in the United States.
Malarial retinopathy is characterized by retinal whitening, vessel change, and hemorrhages usually associated with a white center. We present the case of a 9-year-old boy who presented with a systemic Plasmodium falciparum infection, hemorrhagic cerebellitis and malarial retinopathy characterized by "fire flare" hemorrhages (scleral icterus with subconjunctival hemorrhages), Roth spot-like hemorrhages, and subhyaloid hemorrhage. To our knowledge, this is the first reported case of hemorrhagic cerebellitis secondary to P. falciparum infection in the United States.
Ruiz Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, Houston, Texas; Robert Cizik Eye Clinic, Houston, Texas.
Nafiseh
N
Hashemi
Ruiz Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, Houston, Texas.
Lauren M
LM
Callon
Ruiz Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, Houston, Texas; Moran Pediatric Eye Clinic, an affiliate of the Robert Cizik Eye Clinic, Houston, Texas. Electronic address: Kartik.S.Kumar@uth.tmc.edu.
Kartik S
KS
Kumar
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000962:Antimalarials / Q000627:therapeutic use; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology*; D002648:Child; D002981:Clindamycin / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D015822:Eye Infections, Parasitic / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology*; D006801:Humans; D007262:Infusions, Intravenous; D016779:Malaria, Cerebral / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology*; D016778:Malaria, Falciparum / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology*; D008297:Male; D059208:Parasite Load; D018512:Parasitemia / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology*; D011802:Quinidine / Q000627:therapeutic use; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology*; D014481:United States
D000900:Anti-Bacterial Agents; D000962:Antimalarials; D002981:Clindamycin; D011802:Quinidine