P. vivax malaria presenting as shock an unusual manifestation: Case series

  • Dr Archana Kashyap MD, Senior Resident, Department of Pediatrics, University College Of Medical Sciences, and Guru Tegh Bahadur Hospital, Shahdra and Safdarjung Hospital, Delhi, India
  • Dr Anju Aggarwal MD, MNAMS, FIAP, Associate Professor, Department of Pediatrics, University College Of Medical Sciences, and Guru Tegh Bahadur Hospital, Shahdra and Safdarjung Hospital, Delhi, India
  • Dr Deepika Harit Assistant Professor, Department of Pediatrics, University College Of Medical Sciences, and Guru Tegh Bahadur Hospital, Shahdra and Safdarjung Hospital, Delhi,India
  • Dr Gunvant Singh Eske MD, Senior Resident, Safdarjang Hospital & Vardhaman Mahavir Medical college, New Delhi, India
Keywords: P vivax Malaria, Shock, Children

Abstract

Shock as a manifestation of Plasmodium vivax infection is rarely reported. Four children aged 8 – 12 years with severe vivax malaria presented with shock. Thrombocytopenia was detected in all cases. There were no bleed from any site. Diagnosis of P. vivax was made by blood smear and rapid diagnostic tests. All patients did not responded to initial fluid boluses and improved on steroid and anti malarial therapy being artesunate combination therapy.

Downloads

Download data is not yet available.

References

1. Kochar DK, Saxena V, Singh N, Kochar SK, Kumar SV, Das A. Plasmodium vivax malaria. Emerg Infect Dis. 2005 Jan;11(1):132-4. [PubMed]

2. Genton B, D'Acremont V, Rare L, Baea K, Reeder JC, Alpers MP, Müller I. Plasmodium vivax and mixed infections are associated with severe malaria in children: a prospective cohort study from Papua New Guinea. PLoS Med. 2008 Jun 17;5(6):e127. doi: 10.1371/journal.pmed.0050127.

3. Song JY, Park CW, Jo YM, Kim JY, Kim JH, Yoon HJ, Kim CH, Lim CS, Cheong HJ, Kim WJ. Two cases of Plasmodium vivax Malaria with the clinical picture resembling toxic shock. Am J Trop Med Hyg. 2007 Oct;77(4):609-11. [PubMed]

4. Srivastava S, Ahmad S, Shirazi N, Kumar VS, Puri P. Retrospective analysis of vivax malaria patients presenting to tertiary referral centre of Uttarakhand . Acta Trop. 2011 ;117:82-5.

5. Tanwar GS, Khatri PC, Sengar GS, Kochar A, Kochar SK, Middha S, Tanwar G, Khatri N, Pakalapati D, Garg S, Das A, Kochar DK. Clinical profiles of 13 children with Plasmodium vivax cerebral malaria. Ann Trop Paediatr. 2011;31(4):351-6. doi: 10.1179/1465328111Y.0000000040. [PubMed]

6. Kochar DK, Das A, Kochar SK, Saxena V, Sirohi P, Garg S, Kochar A, Khatri MP, Gupta V. Severe Plasmodium vivax malaria: a report on serial cases from Bikaner in northwestern India. Am J Trop Med Hyg. 2009 Feb;80(2):194-8. [PubMed]

7. Rogerson SJ, Carter R. Severe vivax malaria: newly recognised or rediscovered. PLoS Med. 2008 Jun 17;5(6):e136. doi: 10.1371/journal.pmed.0050136. [PubMed]

8. Mohan A1, Sharma SK, Bollineni S. Acute lung injury and acute respiratory distress syndrome in malaria. J Vector Borne Dis. 2008 Sep;45(3):179-93. [PubMed]

9. Kochar DK, Tanwar GS, Khatri PC, Kochar SK, Sengar GS, Gupta A, Kochar A, Middha S, Acharya J, Saxena V, Pakalapati D, Garg S, Das A. Clinical features of children hospitalized with malaria--a study from Bikaner, northwest India. Am J Trop Med Hyg. 2010 Nov;83(5):981-9. doi: 10.4269/ajtmh.2010.09-0633.
CITATION
DOI: 10.17511/ijmrr.2015.i9.200
Published: 2015-10-31
How to Cite
1.
Kashyap A, Aggarwal A, Harit D, Singh Eske G. P. vivax malaria presenting as shock an unusual manifestation: Case series. Int J Med Res Rev [Internet]. 2015Oct.31 [cited 2024Nov.22];3(9):1099-101. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/372
Section
Case Series