Retinal Hemorrhages in Severe Non-cerebral Plasmodium vivax Malaria in an Adult
Published: June 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.6003
Manoj Lakhotia, Jagdish Singh, Hans Raj Pahadiya, Harish Kumar, Prakash K. Choudhary
1. Senior Professor, Department of Medicine, Dr. SNMC Jodhpur Rajasthan, India.
2. Senior Resident, Department of Medicine, Dr. SNMC Jodhpur Rajasthan, India.
3. Senior Resident, Department of Medicine, Dr. SNMC Jodhpur Rajasthan, India.
4. Senior Resident, Department of Medicine, Dr. SNMC Jodhpur Rajasthan, India.
5. Resident, Department of Medicine, Dr. SNMC Jodhpur Rajasthan, India.
Correspondence
Dr. Jagdish Singh,
Room No. 15, PG Hostel, Olympic Circle, MG Hospital Jodhpur, Rajasthan-342001, India.
E-mail: kaswan.mbbs@gmail.com
Malaria is the most important parasitic diseases of humans and one of the leading causes of morbidity and mortality in tropical countries. Earlier Plasmodium vivax was considered as a benign infection, but now it is recognized as a cause of severe malarial disease. It causes severe malarial disease similar to those as Plasmodium falciparum including cerebral malaria, severe anaemia, severe thrombocytopenia, hepatic dysfunction, shock, acute respiratory distress syndrome (ARDS), acute renal failure, and pulmonary oedema. Malarial retinopathy includes retinal whitening, vessel changes, retinal hemorrhages and papilledema. However, retinal hemorrhages are very rare in Plasmodium vivax infestation. Hereby, we report a case of 30-year-old man, who presented with fever with chills and diminution of vision. He was found to have Plasmodium vivax infection with retinal hemorrhages. He was treated successfully with artisunate, primaquine and doxycycline, completely recovered after one month.
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