Peripheral gangrene in a fatal pediatric cerebral malaria: A case report.

ABSTRACT

A Thai male aged 10 years from Kanchanaburi, was referred to Paholpolpayuhasana hospital decause of ceredral malaria. During his hospital stay, the patient developed multiple complications including gangrene of both feet which was seen 24 hours after admission. This patient was haematemesis. The laboratory results revealed thrombocytopaenia and an abnormal coagulogram but there was no evidence of septicaemia. The patchy lesions of peripheral gangrenr progressed slowly and stoped after 48 hours. After 5 days of treatment, the patient became aparasitaemic but he developed acute renal failure on day 6 and died of pulmonary oedema on day 7. In agreement with a previous report, this report confirms that peripheral gangrene is a rare complication in Thai pediatric cerebral malaria patients. This complication can develop both in other multiple complications.