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
Jazyk: angličtina
Rok vydání: 2005
Předmět:
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