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

AUTOR(ES)

Lomar, André V., Vidal, José E., Lomar, Frederico P., Barbas, Carmen Valente, Matos, Gustavo Janot de, Boulos, Marcos

FONTE

Brazilian Journal of Infectious Diseases

DATA DE PUBLICAÇÃO

2005-10

RESUMO

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.

Documentos Relacionados

• Myocarditis associated with Plasmodium vivax malaria: a case report
• Pulmonary hypertension due to acute respiratory distress syndrome
• Acute kidney injury and pancreatitis due to scorpion sting: case report and literature review
• Bacteremia due to Moraxella osloensis: a case report and literature review
• Bench-to-bedside review: β2-Agonists and the acute respiratory distress syndrome