title: Acute kidney injury in a shepherd with severe malaria: a case report.
abstract: Malaria is one of the main reasons for outpatient consultation and hospitalization in Mauritania. Although fourPlasmodiumspecies, ie,Plasmodium(P.)falciparum,P.vivax,P.malariae, andP. ovale, cause malaria in Mauritania, recent data on their frequency is lacking. Since infections withP. falciparumgenerally result in serious disease, their identification is important. We report a case of oliguric renal injury associated with malaria in a 65-year-old shepherd. Clinical manifestations included anemia, oliguria, and elevated creatinine and urea. The rapid diagnostic test for malaria and microscopic examination of blood smears were positive forP. falciparum. On the basis of this, the patient was diagnosed as having acute kidney injury as a complication of severe malaria. The patient was treated for malaria with intravenous quinine for 4 days, followed by 3 days of oral treatment. Volume expansion, antipyretic treatment, and diuretics were administered. He also had two rounds of dialysis after which he partially recovered renal function. This outcome is not always the rule. Prognosis depends much on early diagnosis and appropriate supportive treatment.
authors: Department of Internal Medicine, Aïoun Regional Hospital, Hodh El Gharbi, Mauritania.
authors: Boushab Mohamed
authors: BM
authors: Boushab
authors: National Institute of Hepatology-Virology in Nouakchott, School of Medicine, Nouakchott, Mauritania.
authors: Fatim-Zahra
authors: FZ
authors: Fall-Malick
authors: Department of Infectious Diseases, University Teaching Hospital Yalgado Ouédrago, Ouagadougou, Burkina Faso.
authors: Mamoudou
authors: M
authors: Savadogo
authors: Research Unit of Infectious and Tropical Diseases, Institut de Recherche pour le Développement (Research Institute for Development), Aix-Marseille University, Marseille, France.
authors: Leonardo Kishi
authors: LK
authors: Basco
keywords: dialysis; malaria; oliguric kidney injury; quinine; shepherd