Acute respiratory distress syndrome due to vivax malaria: case report and literature review
Autor: | Frederico Polito Lomar, André Villela Lomar, José E. Vidal, Carmen Silvia Valente Barbas, Marcos Boulos, Gustavo Janot Faissol de Matos |
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Jazyk: | angličtina |
Rok vydání: | 2005 |
Předmět: |
Microbiology (medical)
Adult medicine.medical_specialty ARDS Exacerbation Plasmodium vivax Plasmodium falciparum lcsh:QR1-502 Acute respiratory distress lcsh:Microbiology lcsh:Infectious and parasitic diseases Internal medicine parasitic diseases Malaria Vivax Medicine Animals Humans lcsh:RC109-216 Respiratory system Malaria Falciparum Respiratory Distress Syndrome acute respiratory failure biology business.industry acute respiratory distress syndrome biology.organism_classification medicine.disease Malaria Infectious Diseases Vivax malaria Immunology Female business Brazil |
Zdroj: | Brazilian Journal of Infectious Diseases v.9 n.5 2005 Brazilian Journal of Infectious Diseases Brazilian Society of Infectious Diseases (BSID) instacron:BSID Brazilian Journal of Infectious Diseases, Vol 9, Iss 5, Pp 425-430 Brazilian Journal of Infectious Diseases, Volume: 9, Issue: 5, Pages: 425-430, Published: OCT 2005 |
Popis: | Severe pulmonary involvement in malaria has been frequently reported in cases of Plasmodium falciparum infection, but rarely in vivax malaria. Among the 11 previous cases of vivax-related severe respiratory involvement described in the literature, all except one developed it after the beginning of anti-malarial treatment; these appear to correspond to an exacerbation of the inflammatory response. We report the case of a 43-year-old Brazilian woman living in a malaria-endemic area, who presented acute respiratory distress syndrome (ARDS) caused by P. vivax before starting anti-malarial treatment. The diagnosis was made based on microscopic methods. A negative rapid immunochromatographic assay, based on the detection of Histidine Rich Protein-2 (HRP-2) of P. falciparum, indicated that falciparum malaria was unlikely. After specific anti-plasmodial therapy and intensive supportive care, the patient was discharged from the hospital. We conclude that vivax malaria-associated ARDS can develop before anti-malarial therapy. |
Databáze: | OpenAIRE |
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