USU Conference Systems, International Conference on Tropical Medicine and Infectious Diseases (ICTROMI) 2017

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Plasmodium falciparum induced severe malaria with acute kidney injury and jaundice: a case report
Ade Baswin

Last modified: 2017-10-27


Abstract. P. falciparum induces severe malaria with life threatening complications like cerebral malaria, acute kidney injury (AKI), severe anemia, acidosis, jaundice, and acute respiratory distress syndrome. A 31-year-old soldier man who works in Aceh Singkil, Indonesia which is an endemic malaria area presented with paroxysm of fever, shaking chills and sweats over 4 days, headache, athralgia, abdominal pain, pale, jaundice and oliguria. Urinalysis showed  hemoglobinuria. Blood examination showed hemolytic anemia, thrombocytopenia and hyperbilirubinemia. Hemodialysis was performed for eight times. Falciparum malaria was then confirmed by peripheral blood smear, and antimalarial medications were initiated. The patient’s condition and laboratory results were quickly normalized. We report a case of P. falciparum induced severe malaria with AKI and jaundice. The present case suggest that P. falciparum may induced severe malaria with life threatening complications, early diagnosis and treatment is important because untreated tropical malaria can be associated with fatality. Physicians must be alert for correct diagnosis and proper management of imported tropical malaria when patients have travel history in endemic areas.