Open AccessPlasmodium vivax induced hemolytic uremic syndrome: An uncommon manifestation that leads to a grave complication and treated successfully with renal transplantation
Author(s) -
Rajesh Jhorawat,
Pankaj Beniwal,
Vinay Malhotra
Publication year - 2015
Publication title -
tropical parasitology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.418
H-Index - 11
eISSN - 2229-7758
pISSN - 2229-5070
DOI - 10.4103/2229-5070.162528
Subject(s) - thrombotic microangiopathy , medicine , hemolytic anemia , dialysis , complication , jaundice , gastroenterology , renal function , renal biopsy , malaria , transplantation , plasmodium vivax , surgery , immunology , plasmodium falciparum , disease
We are reporting a case of hemolytic uremic syndrome, a rare manifestation of Plasmodium vivax malaria. A young driver was admitted with acute febrile illness, decreased urine output, anemia, thrombocytopenia, jaundice, and increased serum lactate dehydrogenase. He showed a partial response to antimalarial drugs. However, he was readmitted with worsening renal parameters. His kidney biopsy revealed chronic thrombotic microangiopathy. He remained dialysis dependent and later underwent renal transplantation successfully, with excellent graft function at 1-year.