Acute kidney injury in a shepherd with severe malaria: a case report.
| Autor: | Boushab BM; Department of Internal Medicine, Aïoun Regional Hospital, Hodh El Gharbi, Mauritania., Fall-Malick FZ; National Institute of Hepatology-Virology in Nouakchott, School of Medicine, Nouakchott, Mauritania., Savadogo M; Department of Infectious Diseases, University Teaching Hospital Yalgado Ouédrago, Ouagadougou, Burkina Faso., Basco LK; Research Unit of Infectious and Tropical Diseases, Institut de Recherche pour le Développement (Research Institute for Development), Aix-Marseille University, Marseille, France. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | International journal of nephrology and renovascular disease [Int J Nephrol Renovasc Dis] 2016 Oct 11; Vol. 9, pp. 249-251. Date of Electronic Publication: 2016 Oct 11 (Print Publication: 2016). |
| DOI: | 10.2147/IJNRD.S116377 |
| Abstrakt: | Malaria is one of the main reasons for outpatient consultation and hospitalization in Mauritania. Although four Plasmodium species, ie, Plasmodium ( P .) falciparum , P . vivax , P . malariae , and P. ovale , cause malaria in Mauritania, recent data on their frequency is lacking. Since infections with P. falciparum generally result in serious disease, their identification is important. We report a case of oliguric renal injury associated with malaria in a 65-year-old shepherd. Clinical manifestations included anemia, oliguria, and elevated creatinine and urea. The rapid diagnostic test for malaria and microscopic examination of blood smears were positive for P. falciparum . On the basis of this, the patient was diagnosed as having acute kidney injury as a complication of severe malaria. The patient was treated for malaria with intravenous quinine for 4 days, followed by 3 days of oral treatment. Volume expansion, antipyretic treatment, and diuretics were administered. He also had two rounds of dialysis after which he partially recovered renal function. This outcome is not always the rule. Prognosis depends much on early diagnosis and appropriate supportive treatment. Competing Interests: The authors report no conflicts of interest in this work. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|