Case of Malarial Hepatitis by Plasmodium Vivax.
10.4166/kjg.2010.56.5.329
- Author:
Young Ho SUNG
1
;
Joon Mo PARK
Author Information
1. Department of Internal Medicine, Pohang St. Mary's Hospital, Pohang, Korea. yyhhsung@hanmail.net
- Publication Type:Case Report ; English Abstract
- Keywords:
Vivax;
Malaria;
Hepatitis;
Jaundice
- MeSH:
Abdomen/ultrasonography;
Antimalarials/therapeutic use;
Erythrocytes/immunology/parasitology;
Fatigue/etiology;
Hepatitis/*diagnosis/etiology/ultrasonography;
Humans;
Malaria, Vivax/complications/*diagnosis/drug therapy;
Male;
Mefloquine/therapeutic use;
Nausea/etiology;
Plasmodium vivax/isolation & purification;
Primaquine/therapeutic use;
Young Adult
- From:The Korean Journal of Gastroenterology
2010;56(5):329-333
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Malarial infection is one of the most important tropical diseases, but also increasing in the temperate regions. Severe malaria with organ dysfunction is commonly associated with Plasmodium falciparum, but rarely with Plasmodium vivax. Malarial hepatitis is also unusual in P. falciparum and very rare in P. vivax. Only 3 cases of malarial hepatitis caused by P. vivax have been reported in the world. Because the presence of hepatitis in malaria indicates a more severe illness with higher incidence of other complications and poor prognosis, malarial patients should be meticulously monitored for hepatic dysfunction with or without jaundice. We report here a case of malarial hepatitis caused by P. vivax that was presented by fever, general ache, nausea, fatigue, and significant elevation of aminotransferase and bilirubin.
