Vivax Malaria Complicated by Adult Respiratory Distress Syndrome

Carlini, Mauro; White, A. C.; Atmar, Robert L.

doi:10.1086/517779

Cited by 52 publications

(29 citation statements)

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“…Using the electronic databases of MEDLINE (National Library of Medicine, Bethesda, MD, USA), and manually searching journals published between 1982 and 2003, we found 11 reported cases of vivax malaria with severe pulmonary involvement [6][7][8][9][10][11][12][13][14][15]. The main features of these cases, including ours, are presented in Table 1.…”

Section: Discussionmentioning

confidence: 99%

“…The main clinical manifestation of severe malaria caused by P. falciparum includes severe anemia, jaundice, renal failure, cerebral malaria, and ARDS. Sporadically, all of these complications have been reported in vivax malaria [6][7][8][9][10][11][12][13][14][15]17,18].…”

Section: Discussionmentioning

confidence: 99%

“…Several pulmonary syndromes in severe vivax malaria have been described, such as acute noncardiogenic pulmonary edema [8,10], ARDS [7,14,15], acute pulmonary injury [6,8,12], and interstitial pneumonia [9]. Respiratory complications of vivax malaria seem to be under-diagnosed.…”

Section: Discussionmentioning

confidence: 99%

“…The reviewed cases presented ages between 17 and 64 years. Seven of them reported recent travel to endemic areas [6,8,[12][13][14][15], showing the importance of obtaining a detailed epidemiological history to consider imported malaria in the differential diagnosis of acute febrile syndrome. Malaria prophylaxis was not used, or was incorrectly used, in most of the cases [6,8,15].…”

Section: Discussionmentioning

confidence: 99%

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Acute respiratory distress syndrome due to vivax malaria: case report and literature review

Lomar¹,

Vidal²,

Lomar³

et al. 2005

Braz J Infect Dis

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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 malariaendemic 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 antiplasmodial 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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Acute respiratory distress syndrome due to vivax malaria: case report and literature review

Lomar¹,

Vidal²,

Lomar³

et al. 2005

Braz J Infect Dis

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show abstract

“…All of the reports of severe and complicated vivax malaria described in Table 1 apart from five [5][6][7][8]11] lack evidence ruling out cryptic falciparum malaria or inaccurate microscopic diagnoses. Clinicians and laboratory workers managing severely ill patients in endemic areas rarely have the advantage of PCR diagnostics, and presentation of cerebral malaria, ARDS, liver dysfunction and renal failure often leads to the presumptive diagnosis of severe falciparum malaria.…”

Section: Investment and Therapeutic Optionsmentioning

confidence: 99%

Neglect of Plasmodium vivax malaria

Baird¹

2007

Trends in Parasitology

240

166

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An Outbreak of Malaria in US Army Rangers Returning From Afghanistan

Kotwal

2005

JAMA

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Context With numerous US military personnel currently deployed throughout the world, military and civilian health care professionals may encounter imported malaria from this population.Objective To identify malaria in US Army personnel deployed to a combat zone. Design, Setting, and PatientsCase series in the US Army health care system. A total of 38 cases of malaria were identified in a 725-man Ranger Task Force that deployed to eastern Afghanistan between June and September 2002. Main Outcome Measures Identification of malaria cases and soldiers' self-report of compliance with antimalarial measures.Results A total of 38 patients were infected with Plasmodium vivax, yielding an attack rate of 52.4 cases per 1000 soldiers. Diagnosis was confirmed a median of 233 days (range, 1-339 days) after return from the malaria endemic region, with additional laboratory findings noting anemia and thrombocytopenia. One case was complicated with acute respiratory distress syndrome during the patient's primary attack and a spontaneous pneumothorax during relapse. This case accounted for 1 of 2 relapse cases in the study population. From an anonymous postdeployment survey of 72% (521/725) of the task force, the self-reported compliance rate was 52% for weekly chemoprophylaxis, 41% for terminal (postdeployment) chemoprophylaxis, 31% for both weekly and terminal chemoprophylaxis, 82% for treating uniforms with permethrin, and 29% for application of insect repellent. ConclusionsDelayed clinical presentation can occur with P vivax. Symptoms are often vague, but malaria should be included in the differential diagnosis for soldiers returning from an endemic region. Suboptimal compliance with preventive measures can result in a malaria outbreak.

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Vivax Malaria Complicated by Adult Respiratory Distress Syndrome

Cited by 52 publications

References 0 publications

Acute respiratory distress syndrome due to vivax malaria: case report and literature review

Acute respiratory distress syndrome due to vivax malaria: case report and literature review

Neglect of Plasmodium vivax malaria

An Outbreak of Malaria in US Army Rangers Returning From Afghanistan

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