Unrecognized Malaria and its Consequences - A Case Report of Severe Malaria with Acute Renal Failure

Biserka Trošelj Vukić, Sretenka Vuksanović Mikuličić, Branka Sladoje Martinović, Irena Milotić, Irena Slavuljica

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, malaria tropica, misdiagnosis, renal failure, artemether

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