Malaria Caused by Plasmodium vivax Complicated by Acalculous Cholecystitis

Curley, Justin M; Mody, Rupal; Gasser, Robert A.

doi:10.4269/ajtmh.2011.10-0724

Cited by 13 publications

(16 citation statements)

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“…A recent review of 16 of these cases compared the presentation and clinical course of the illness across the cases [2]. Our case seems to correspond well with the clinical presentation of AAC in P. falciparum and P. vivax infections, namely nausea, vomiting and abdominal pain in association with mildly deranged liver function tests.…”

Section: Discussionsupporting

confidence: 76%

“…The majority of the cases were diagnosed using ultrasound, although two also used hepatobiliary iminodiacetic acid (HIDA) scans [2]. Ultrasound is generally accepted as the best first line investigation of AAC due to availability and portability [6].…”

Section: Discussionmentioning

confidence: 99%

“…It is most commonly attributed to severe physiological insult such as sepsis, burns or trauma [1] but there have been several reports linking the disease with malaria infection [2,3]. Of the five Plasmodium parasites responsible for the disease in humans ( Plasmodium falciparum, Plasmodium vivax, Plasmodium malariae, Plasmodium ovale and Plasmodium knowlesi), only P. falciparum and P. vivax have so far been associated with AAC.…”

Section: Introductionmentioning

confidence: 99%

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Acalculous cholecystitis occurring in the context of Plasmodium malariae infection: a case report

2013

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IntroductionAcalculous cholecystitis has been shown to occur in the context of malarial infection with Plasmodium vivax and Plasmodium falciparum and requires prompt diagnosis and treatment to prevent complications. To the best of our knowledge this is the first reported case of the disease occurring in a patient infected with Plasmodium malariae.Case presentationWe report the first case of acalculous cholecystitis associated with Plasmodium malariae in a 59-year-old male Nepalese ex-Gurkha soldier. He presented with fever and vomiting and later developed right upper quadrant pain. Abdominal ultrasound and computed tomography scans confirmed acalculous cholecystitis for which he was treated medically with chloroquine, gentamicin and metronidazole. He made a full recovery.ConclusionsPhysicians should be aware that in addition to Plasmodium vivax and Plasmodium falciparum infections, acalculous cholecystitis can occur in the context of Plasmodium malariae infection. Mechanisms for this are discussed but further studies are needed to establish the etiology of this association.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Acalculous cholecystitis occurring in the context of Plasmodium malariae infection: a case report

2013

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“…In adults, the most common cause of acute abdominal pain is non-specifi c (24 % -44 % ) followed by acute appendicitis (15.9 % -28.1 % ) and then acute biliary disease (2.9 % -9.7 % ) (48) . It is more common in female students than male ones.…”

Section: Cholecystitis/cholelithiasis Epidemiologymentioning

confidence: 99%

Perspectives on acute abdominal pain in the college student: a clinically challenging conundrum

Greydanus

Rowlett

2012

International Journal on Disability and Human Development

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Acute abdominal pain in the college student can be due to many causes, some of which are considered in this discussion. The key to an accurate diagnosis is a meticulous medical history, careful physical examinations repeated over time, and judicious use of laboratory and/or imaging studies. The medical history may indicate red fl ags that alert the astute clinician to which causes are benign and which ones indicate serious pathology. Particularly important is the location of the pain and how it may change over time. The challenging features presented by acute abdominal pain in the college student include fi ndings, such as guarding or rigidity, signifying acute appendicitis or peritonitis vs. negative palpatory fi ndings that are non-specifi c with minimal clinical value. Appropriate follow-up over time is a valued tool in the clinician ' s armamentarium in the evaluation and management of acute abdominal pain.

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“…Previous studies have indicated changes in brain structures in victims of PTSD that were not exposed to chemical agents. 43,44 However, Yamasue and colleagues did perform a separate analysis of covariance looking for the effects of psychological 20 stress on gray matter density. They did not find a significant correlation between regional brain volume reduction and psychological symptoms.…”

Section: Neurological and Cognitive Impairmentsmentioning

confidence: 99%

Assessment of Potential Long Term Health Effects on Army Human Test Subjects of Relevant Biological and Chemical Agents, Drugs, Medications and Substances

Johnson¹

2016

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Malaria Caused by Plasmodium vivax Complicated by Acalculous Cholecystitis

Abstract: * RUQ = right upper quadrant; WBC = white blood cell; AAC = acalculous cholecystitis; AST = aspartate aminotransferase; ALT = alanine aminotransferase; HIDA = hepatobiliary iminodiacetic acid.

Cited by 13 publications

References 29 publications

Acalculous cholecystitis occurring in the context of Plasmodium malariae infection: a case report

Acalculous cholecystitis occurring in the context of Plasmodium malariae infection: a case report

Perspectives on acute abdominal pain in the college student: a clinically challenging conundrum

Assessment of Potential Long Term Health Effects on Army Human Test Subjects of Relevant Biological and Chemical Agents, Drugs, Medications and Substances

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