Open AccessSpontaneous Subdural Haemorrhage: A Rare Association with Plasmodium Vivax Malaria
Author(s) -
Ajay Raj Mallela,
Hariprasad Shetty,
Rohini Koya,
Vasudev Acharya,
Shastry Barkur Anantha Krishna
Publication year - 2016
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2016/15418.7098
Subject(s) - malaria , medicine , plasmodium vivax , pediatrics , disease , differential diagnosis , vomiting , diagnosis of malaria , immunology , plasmodium falciparum , surgery , pathology
Malaria is an endemic disease in tropical countries and disease of universal importance. Central Nervous System (CNS) complications of malaria are severe and associated with significant mortality. Thrombocytopaenia in malaria causing haemorrhagic CNS complications is rare. We report a case of 35-year-old male patient presented with headache, vomiting and was diagnosed to have subdural haemorrhage (SDH). On examination patient was found to be febrile with peripheral smear showing evidence of Plasmodium vivax (P.vivax) infection with severe thrombocytopaenia. In endemic regions with malaria, SDH being rare presentation of malaria should be considered as a differential diagnosis in febrile patients with neurological manifestations. Rarity of spontaneous SDH in malaria and raising awareness amongst treating physicians about the same is the driving factor for reporting this case.