1/11. adult respiratory distress syndrome complicating plasmodium falciparum malaria.In people who do not have clinical immunity to malaria, infection with the malaria parasite could lead to severe complications. We describe a patient who had acute and severe lung injury from malaria. A 37-year-old woman had a 24-hour history of generalized weakness and chills 2 days after returning from nigeria. She had received mefloquine as prophylaxis, but the patient did not take the medication. On admission, a thick blood smear revealed severe plasmodium falciparum parasitemia. She was given doxycycline and quinine, but as her parasitemia resolved, dyspnea and hypoxemia developed and she consequently required placement of an endotracheal tube. Chest radiography results showed bilateral and diffuse infiltrate. This report shows that patients with P falciparum malaria should be monitored closely and transferred to an intensive care unit for additional management if respiratory distress develops. physicians caring for patients who have recently traveled to malaria-endemic areas need to anticipate the possible development of malaria with all of its complications, including acute lung injury.- - - - - - - - - - ranking = 1keywords = malaria (Clic here for more details about this article) |
2/11. Acute respiratory distress syndrome complicating plasmodium vivax malaria.malaria is one of the most common infectious diseases in the world, and severe respiratory complications have been described mainly in association with plasmodium falciparum. We describe a case of acute respiratory distress syndrome complicating infection with P. vivax in the setting of relatively low parasitemia in a 47-yr-old woman after a brief trip to papua new guinea. A review of the literature shows that pulmonary complications of P. vivax are rare but occur more frequently than generally acknowledged. Pathogenic mechanisms of these complications are discussed.- - - - - - - - - - ranking = 5.5118928208379keywords = vivax malaria, vivax, malaria (Clic here for more details about this article) |
3/11. Pulmonary toxicity with mefloquine.This report presents a case of acute lung injury developing within hours after administration of mefloquine for a low-level plasmodium falciparum malaria, which was persistent despite halofantrine therapy. Extensive microbiological investigation remained negative and video-assisted thoracoscopic lung biopsy demonstrated diffuse alveolar damage. The evolution was favourable without treatment. This is the second report of acute lung injury and diffuse alveolar damage caused by mefloquine. glucose-6-phosphate dehydrogenase deficiency was present in the former case and was thought to contribute to the lung injury. However, glucose-phosphate dehydrogenase was normal in the present case, suggesting that it is not a predisposing condition to the lung injury.- - - - - - - - - - ranking = 0.1keywords = malaria (Clic here for more details about this article) |
4/11. Apheresis for severe malaria complicated by cerebral malaria, acute respiratory distress syndrome, acute renal failure, and disseminated intravascular coagulation.malaria has become a very uncommon disease in italy. Recently a variety of circumstances, such as travel to tropical countries as well as immigration from asia and africa, have combined to increase the number of malaria cases recorded annually. In this report we describe the use of red cell exchange transfusion and plasma exchange in the treatment of a patient with hyperparasitemic malaria (51% erythrocytes or more parasitized). When first observed the patient was in shock and had signs of cerebral malaria, disseminated intravascular coagulation, and acute respiratory distress syndrome, which in the following 2 days were complicated by acute renal failure. After mefloquine therapy combined with 3 red blood cell exchanges, 2 plasma exchanges, and 10 dialysis sessions over 14 days, the patient recovered completely. This case of severe malaria with multiple complications, treated with mefloquine in conjunction with both exchange transfusion and plasmapheresis, had a successful outcome and lends further support to the possible beneficial role of exchange transfusion in complicated malaria.- - - - - - - - - - ranking = 1.3keywords = malaria (Clic here for more details about this article) |
5/11. Severe acute respiratory distress syndrome in a child with malaria: favorable response to prone positioning.We present the case of a 4-year-old boy with malaria who developed acute respiratory distress syndrome with severe hypoxemia refractory to mechanical ventilation and inhaled nitric oxide. Placing the patient in prone position immediately and persistently improved oxygenation: the ratio of P(aO(2)) to fraction of inspired oxygen rose from 47 to 180 mm Hg and the oxygenation index decreased from 40 to 11. The patient survived, with no respiratory sequelae.- - - - - - - - - - ranking = 0.5keywords = malaria (Clic here for more details about this article) |
6/11. case reports: pernicious complications of benign tertian malaria.We describe 2 patients with complications of plasmodium vivax malaria. Both patients developed marked intravascular haemolysis and haemoglobinuria despite normal levels of glucose-6-phosphate dehydrogenase activity in blood. One required mechanical ventilation because of life-threatening hypoxia due to acute respiratory distress syndrome.- - - - - - - - - - ranking = 1.6627654723398keywords = vivax malaria, vivax, malaria (Clic here for more details about this article) |
7/11. Respiratory distress in nonimmune adults with imported malaria.Acute respiratory distress (ARD) in two nonimmune adults with imported mixed and vivax malarial infections with low and resolving parasite load is described. Malarial pulmonary edema exacerbated by hypoalbuminemia and fluid redistribution without overload occurred in the latter patient. ARD led to mortality in one of the two. ARD should be promptly recognized and managed.- - - - - - - - - - ranking = 1.6627654723398keywords = vivax malaria, vivax, malaria (Clic here for more details about this article) |
8/11. Fatal pancytopenia in falciparum malaria.Various pernicious syndromes in plasmodium falciparum infection are being reported with increasing frequency from tropical countries. A rare case of fatal pancytopenia associated with falciparum malaria is described. The patient developed fulminant aspiration bronchopneumonia which was unresponsive to antibiotic therapy and contributed to the development of adult respiratory distress syndrome. He also had severe uncontrolled gastrointestinal bleeding and possibly an intracerebral haemorrhage. Anaemia and thrombocytopenia are well known in malaria but severe leucopenia is very rare and pancytopenia has not been reported.- - - - - - - - - - ranking = 0.6keywords = malaria (Clic here for more details about this article) |
9/11. adult respiratory distress syndrome in babesiosis.A patient is described who contracted transfusion-induced babesiosis, and later developed acute respiratory distress syndrome (ARDS) as a fatal complication. ARDS has been reported in patients with plasmodium falciparum malaria, but to our knowledge has not been observed as a complication of babesiosis.- - - - - - - - - - ranking = 0.1keywords = malaria (Clic here for more details about this article) |
10/11. Unusual complications in benign tertian malaria.An unusual case of malaria with plasmodium vivax is reported which had complications classically seen with plasmodium falciparum malaria. The complications were cerebral malaria, disseminated intravascular coagulation and adult respiratory distress syndrome.- - - - - - - - - - ranking = 0.93041546573944keywords = vivax, malaria (Clic here for more details about this article) |
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