Severe Vivax Malaria: A Case Report and A Literature Review
Dhitiwat Changpradub MD*, Mathirut Mungthin MD, PhD**
Affiliation : * Division of Infectious Disease, Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand ** Department of Parasitology, Phramongkutklao College of Medicine, Bangkok, Thailand
Most cases of severe malaria are caused by infection of Plasmodium falciparum. However, severe manifestations in the infection of P. knowlesi and P. vivax have been reported in recent years. The present study reported a 24-year-old Thai male presenting with acute fever and shock. Both blood smears and PCR were positive for P. vivax. He was treated with intravenous artesunate for 3 days in combination with oral mefloquine for 2 days and oral primaquine for 14 days. He was discharged from hospital without any sequelae.
Keywords : Severe vivax malaria, Plasmodium vivax, Shock, Thailand
