| Journal: | The brazilian journal of infectious diseases |
| Database: | PERIÓDICA |
| System number: | 000290886 |
| ISSN: | 1413-8670 |
| Authors: | Lomar, Andre V1 Vidal, Jose E2 Lomar, Frederico P Barbas, Carmen Valente Matos, Gustavo Janot de Boulos, Marcos3 |
| Institutions: | 1Instituto Israelita de Ensino e Pesquisa Albert Einstein, Hospital Albert Einstein, Sao Paulo. Brasil 2Universidade de Sao Paulo, Instituto Emilio Ribas, Sao Paulo. Brasil 3Universidade de Sao Paulo, Faculdade de Medicina, Sao Paulo. Brasil |
| Year: | 2005 |
| Season: | Oct |
| Volumen: | 9 |
| Number: | 5 |
| Pages: | 425-430 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Caso clínico |
| English abstract | 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 |
| Disciplines: | Biología, Medicina |
| Keyword: | Parasitología, Diagnóstico, Neumología, Paludismo, Plasmodium vivax, Síndrome de distrés respiratorio agudo, Insuficiencia respiratoria aguda |
| Keyword: | Biology, Medicine, Parasitology, Diagnosis, Pneumology, Malaria, Plasmodium vivax, Acute respiratory distress syndrome, Acute respiratory failure |
| Full text: | Texto completo (Ver HTML) |
