title: Spontaneous Subdural Haemorrhage: A Rare Association with Plasmodium Vivax Malaria.
abstract: Malaria is an endemic disease in tropical countries and disease of universal importance. Central Nervous System (CNS) complications of malaria are severe and associated with significant mortality. Thrombocytopaenia in malaria causing haemorrhagic CNS complications is rare. We report a case of 35-year-old male patient presented with headache, vomiting and was diagnosed to have subdural haemorrhage (SDH). On examination patient was found to be febrile with peripheral smear showing evidence of Plasmodium vivax (P.vivax) infection with severe thrombocytopaenia. In endemic regions with malaria, SDH being rare presentation of malaria should be considered as a differential diagnosis in febrile patients with neurological manifestations. Rarity of spontaneous SDH in malaria and raising awareness amongst treating physicians about the same is the driving factor for reporting this case.
authors.affiliation: Junior Resident, Department of Internal Medicine, Kasturba Medical College , Manipal, India .
authors.forename: Ajay Raj
authors.initials: AR
authors.lastname: Mallela
authors.affiliation: Assistant Professor, Department of Internal Medicine, Kasturba Medical College , Manipal, India .
authors.forename: Shetty
authors.initials: S
authors.lastname: Hariprasad
authors.affiliation: Junior Resident, Department of Internal Medicine, Kasturba Medical College , Manipal, India .
authors.forename: Rohini
authors.initials: R
authors.lastname: Koya
authors.affiliation: Professor, Department of Internal Medicine, Kasturba Medical College , Manipal, India .
authors.forename: Vasudev
authors.initials: V
authors.lastname: Acharya
authors.affiliation: Professor, Department of Internal Medicine, Kasturba Medical College , Manipal, India .
authors.forename: Shastry Barkur Anantha
authors.initials: SB
authors.lastname: Krishna
keywords: Cerebral malaria; Falciparum; Thrombocytopaenia