Case Report: Severe Plasmodium vivax Malaria after Splenectomy

Noy Norman Kambuaya, Hasrini Rini, Putu Ayu Indra Shanti, King Alexander, Freis Candrawati, Pak Prayoga, Leo Leonardo, Dewi Sri Margayani, Bagus Tesa Gina Yayang, Enny Kenangalem, Pierre A. Buffet, Nicholas M. Anstey, Jeanne Rini Poespoprodjo, Steven Kho

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Abstract

Severe malaria after splenectomy has been reported with infections with Plasmodium falciparum, Plasmodium knowlesi, and Plasmodium malariae, but is less well-characterized with Plasmodium vivax. We describe a case of severe P. vivax malaria with hypotension, prostration, and acute kidney injury occurring 2 months after splenectomy in Papua, Indonesia. The patient was treated successfully with intravenous artesunate.

Original languageEnglish
Pages (from-to)284-287
Number of pages4
JournalThe American Journal of Tropical Medicine and Hygiene
Volume109
Issue number2
DOIs
Publication statusPublished - 2 Aug 2023

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