Mohammed Beshir
Jimma University, Ethiopia
Title: Acute pancreatitis, ascites, severe thrombocytopenia, severe anemia and acute renal failure form a rare combination in plasmodium vivax infection in children
Biography
Biography: Mohammed Beshir
Abstract
In Ethiopia, malaria is endemic and commonly caused by Plasmodium vivax and Plasmodium falciparum species. Among the hematological alterations occurring in malaria: anemia, leucopenia, and thrombocytopenia are known. While severe thrombocytopenia is a feature of Plasmodium falciparum species. It is rare in Plasmodium vivax malaria. Similarly, acute renal failure due to Plasmodium vivax malaria is rare in Plasmodium vivax malaria. In view of the rarity of this unusual combination of the case, here we report a 14 years-old boy presented with a 5 days history of intermittent fever with chills & rigors, 3 days history of abdominal pain, distension of abdomen, unable to pass feces and decreased urine output. He was diagnosed to have Plasmodium vivax malaria. Acute pancreatitis, ascites, severe thrombocytopenia, severe anemia, and acute renal failure was diagnosed. These constellations of complications in P. vivax infection has never been reported in the past. The patient responded to antimalarial and supportive treatment. Its presentation, diagnosis, management & natural course will be discussed.