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Year : 2014  |  Volume : 42  |  Issue : 4  |  Page : 151-153

A case of acute respiratory distress syndrome with Plasmodium vivax malaria

Department Of Medicine, Dr.Ram Manohar Lohia Hospital, New Delhi-01, India

Correspondence Address:
Vikas T Talreja
Postgraduate Student, Department Of Medicine, Dr. Ram Manohar Lohia Hospital New Delhi-01
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DOI: 10.4103/1110-1415.145279

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Malaria is an important treatable cause of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) in the tropics and in the returning traveller in the nonendemic areas. ARDS is an important complication in severe, complicated Plasmodium falciparum malaria and has been described rarely in Plasmodium vivax and Plasmodium ovale malaria also. Malarial ALI/ARDS is more common in adults than in children. Pregnant women and nonimmune individuals are more prone to develop this condition. Increased alveolar capillary permeability resulting in intravascular fluid loss into the lungs appears to be the key pathophysiologic mechanism. The diagnosis of malaria is confirmed by slide microscopy supported by the use of rapid antigen tests. Patients with malarial ARDS should be managed in an ICU. Careful attention must be paid to haemodynamic stabilisation and optimising fluid balance. We hereby present a case of a 28-year-old man who presented with ARDS and P. vivax malaria demonstrated by slide microscopy.

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