Open AccessConfusions and dilemma around hepatic dysfunction associated falciparum malaria: A case report and brief review of the literature
Author(s) -
Eka Sianti,
Jose M. Mandei
Publication year - 2009
Publication title -
paediatrica indonesiana
Language(s) - English
Resource type - Journals
eISSN - 2338-476X
pISSN - 0030-9311
DOI - 10.14238/pi49.4.2009.244-8
Subject(s) - medicine , jaundice , malaria , cerebral malaria , coma (optics) , ards , quinine , intensive care medicine , hypoglycemia , pediatrics , gastroenterology , plasmodium falciparum , immunology , lung , insulin , optics , physics
Malaria remains a big burden in East Indonesia. Severe malaria assaults children in endemic area and leads toenormous morbidities and mortalities.According to the World Health Organization's criteria,recognition of one or more of the following clinicalfeatures should raise the suspicion of severe malariai.e, cerebral malaria (unrousable coma), severe anemia(hemoglobin 3 mg/dl), pulmonary edema or adult respiratory distresssyndrome (ARDS), hypoglycemia (glucose 5% of the erythrocytes infested byparasites), or jaundice (bilirubin> 3 mg/dl).l-3Jaundice in malaria due to hepatic dysfunction isa classical case, nevertheless, there are some confusionsand dilemmas in managing it.1 We report a case withjaundice due to hepatic dysfunction and hemolysisassociated falciparum malaria that we treated inGeneral Hospital of Fakfak, West Papua, and providea brief literature review on the matter.