Malarial pancreatitis: Case report and systematic review of the literature

Malaria is one of the very common causes of fever in the Indian subcontinent with significant morbidity and mortality. In endemic areas, malaria infection may manifest with a variety of systemic complications ranging from mild to the life-threatening condition including atypical presentations and sometimes a clinical dilemma. We herein report a case of 35-year-old male laborer with complaints of fever, headache, and altered consciousness whose presentation was as case of clinical meningitis, developed acute hepatitis, kidney injury, and necrotizing pancreatitis. Later on, he diagnosed to have mixed malaria infection and improved well to antimalarial drugs with supportive management. In malaria, acute necrotizing pancreatitis is a rare and potentially fatal complication. We also accomplish a systematic review of literature for reports of acute pancreatitis due to Plasmodium infection. This report highlights the occurrence of several rare complications and systematic review of literature for acute pancreatitis due to malaria.

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“…Only few cases of malaria complicated with acute pancreatitis are summarized in Table 2 . [ 1 3 4 5 6 7 10 ]…”

Section: Discussionmentioning

confidence: 99%

Successful management of necrotizing pancreatitis in mixed malaria and review of literature

et al. 2018

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“…[1][2][3] Apart from dengue fever, malaria and scrub typhus too may rarely be complicated by pancreatitis. 4,5 Prompt treatment of infection with appropriate drugs leads to good outcome in such cases. 4,5 Acute pancreatitis occurs in 3.7 to 5.65% of patients with acute viral hepatitis.…”

Section: Dear Editormentioning

confidence: 99%

“…4,5 Prompt treatment of infection with appropriate drugs leads to good outcome in such cases. 4,5 Acute pancreatitis occurs in 3.7 to 5.65% of patients with acute viral hepatitis. It is usually mild and recovers with conservative management.…”

Section: Dear Editormentioning

confidence: 99%

Letter: Acute Pancreatitis – A Rare Complication of Common Tropical Infections!

Sharma,

Jain

2024

Journal of Gastrointestinal Infections

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“…Severe malaria can present with a wide spectrum of complications including acute kidney injury, liver injury, cerebral involvement, coagulopathy, and anemia. However, acute pancreatitis is a rare complication with literature reporting only 22 cases [ 2 ]. Establishing a diagnosis of malaria related acute pancreatitis requires other causes to be excluded.…”

Section: Introductionmentioning

confidence: 99%