Unusual Presentation of Vivax Malaria with Anaemia, Thrombocytopenia, Jaundice, Renal Disturbance, and Melena: A Report from Malang, a Nonendemic Area in Indonesia

被引:5
作者
Fitri, Loeki Enggar [1 ]
Sardjono, Teguh Wahju [1 ]
Hermansyah, Bagus [2 ]
Candradikusuma, Didi [3 ]
Berens-Riha, Nicole [4 ]
机构
[1] Univ Brawijaya, Fac Med, Dept Parasitol, East Java 65145, Indonesia
[2] Univ Jember, Fac Med, Dept Parasitol, East Java 68121, Indonesia
[3] Univ Brawijaya, Dr Saiful Anwar Hosp, Fac Med, Dept Internal Med, East Java 65145, Indonesia
[4] Univ Munich LMU, Med Ctr, Div Infect Dis & Trop Med, D-80802 Munich, Germany
关键词
D O I
10.1155/2013/686348
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Most of the complications of malaria such as anaemia, thrombocytopenia, jaundice, and renal failure are commonly found in Plasmodium falciparum malaria, but the incidence of severe and complicated vivax malaria tends to be increasing. We report two cases of severe Plasmodium vivax malaria from Malang, a nonendemic area in Indonesia. Patients exhibited anaemia, thrombocytopenia, jaundice, renal disturbance, and melena. Microscopic peripheral blood examination and amplification of parasite 18s rRNA by polymerase chain reaction showed the presence of P. vivax and absence of P. falciparum. All patients responded well to antimalarial drugs.
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页数:4
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