Acute respiratory distress syndrome due to vivax malaria: case report and literature review
Braz. j. infect. dis
;
9(5): 425-430, Oct. 2005. ilus
Article
in English
| LILACS
| ID: lil-419653
ABSTRACT
Severe pulmonary involvement in malaria has been frequently reported in cases of Plasmodium falciparum infection, but rarely in vivax malaria. Among the 11 previous cases of vivax-related severe respiratory involvement described in the literature, all except one developed it after the beginning of anti-malarial treatment; these appear to correspond to an exacerbation of the inflammatory response. We report the case of a 43-year-old Brazilian woman living in a malaria-endemic area, who presented acute respiratory distress syndrome (ARDS) caused by P. vivax before starting anti-malarial treatment. The diagnosis was made based on microscopic methods. A negative rapid immunochromatographic assay, based on the detection of Histidine Rich Protein-2 (HRP-2) of P. falciparum, indicated that falciparum malaria was unlikely. After specific anti-plasmodial therapy and intensive supportive care, the patient was discharged from the hospital. We conclude that vivax malaria-associated ARDS can develop before anti-malarial therapy.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Respiratory Distress Syndrome
/
Malaria, Vivax
Type of study:
Diagnostic study
Limits:
Animals
/
Female
/
Humans
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Braz. j. infect. dis
Journal subject:
Communicable Diseases
Year:
2005
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Israelit Institute Albert Einstein/BR
/
University of São Paulo/BR
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