Severe malaria complicated by circulatory shock is known as algid malaria. Cases of severe imported malaria are seen increasingly frequently in emergency departments in the United States, Europe, and other locales. The optimal volume resuscitation strategy for patients with severe malaria is not well-defined. A year-old woman, who immigrated 2 weeks ago from Niger, Africa, presented to the emergency department of an urban teaching hospital with fever, hypotension, and malaise. She was resuscitated with 5.
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Severe malaria complicated by circulatory shock is known as algid malaria. Cases of severe imported malaria are seen increasingly frequently in emergency departments in the United States, Europe, and other locales. The optimal volume resuscitation strategy for patients with severe malaria is not well-defined.
A year-old woman, who immigrated 2 weeks ago from Niger, Africa, presented to the emergency department of an urban teaching hospital with fever, hypotension, and malaise.
She was resuscitated with 5. She had rapid reversal of circulatory shock, cleared her parasitemia in less than 48 hours with antimalarial therapy, and was discharged home on hospital day 6 in good condition. The optimal resuscitation strategy for algid malaria is unknown, and volume restriction has been advocated as a means to prevent life-threatening cerebral and pulmonary edema.
Although not identical, the late inflammatory response in severe malaria leading to capillary permeability shares many similarities with the immunologic response in bacterial sepsis. Our case report discusses a patient with severe imported malaria complicated by shock, successfully managed with large-volume fluid resuscitation, hemodynamic optimization, early antimalarial agents, and broad-spectrum antibiotics.
This report questions the strategy of cautious fluid resuscitation in algid malaria and suggests that case series comparing goal-directed resuscitation to historic controls along with prospective multicenter controlled trials should be conducted to determine the best fluid resuscitation strategy.
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Optional text in email:. Save Cancel. Create a file for external citation management software Create file Cancel. Full-text links Cite Favorites. Abstract Severe malaria complicated by circulatory shock is known as algid malaria. Similar articles Influenza-like illness as an atypical presentation of falciparum malaria in a traveler from Africa.
Sandhu G, et al. J Emerg Med. Epub Apr PMID: A case of imported severe plasmodium falciparum malaria in the emergency department and the current role of exchange transfusion treatment.
Habeeb H, et al. Epub May Treatment of a patient with shock complicating severe falciparum malaria: a case report. Kuethe F, et al. Cases J. Management of severe malaria in the intensive care unit. Cheng MP, et al. Crit Care Clin.
Epub Aug PMID: Review. A case of severe autochthonous malaria tropica near an airport]. Praetorius F, et al. Dtsch Med Wochenschr.
Show more similar articles See all similar articles. Publication types Case Reports Actions. Diagnosis, Differential Actions. Female Actions. Humans Actions. Young Adult Actions. Substances Antimalarials Actions. Full-text links [x] Elsevier Science. Copy Download.
Tag: algid malaria
Algid is a rare complication of tropical malaria and it occurs in 0. Algid malaria is characterized by hemodynamic disorders as shock with pronounced metabolic changes and hypothermia. A number of factors are involved in the development of algid malaria. These include: 1.
Algid Malaria Treated With Early Goal-Directed Therapy