Professional paper
Unrecognized Malaria and Its Consequences – A Case Report of Severe Malaria with Acute Renal Failure
Biserka Trošelj-Vukić
; University of Rijeka, Rijeka University Hospital Center, Clinic for Infectious Diseases, Rijeka, Croatia
Sretenka Vuksanović-Mikuličić
; University of Rijeka, Rijeka University Hospital Center, Clinic for Internal Medicine, Rijeka, Croatia
Branka Sladoje-Martinović
; University of Rijeka, Rijeka University Hospital Center, Clinic for Internal Medicine, Rijeka, Croatia
Irena Milotić
; Celje General Hospital, Department of Infectious Diseases, Celje, Slovenia
Irena Slavuljica
; University of Rijeka, Rijeka University Hospital Center, Clinic for Infectious Diseases, Rijeka, Croatia
Abstract
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 supportivemeasures including renal replacement therapy.
Keywords
severe malaria; misdiagnosis; renal failure
Hrčak ID:
104748
URI
Publication date:
1.7.2013.
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