Nasir Noreen, Lalani Saima, Samani Zahra Aziz, Almas Aysha
Department of Medicine, The Aga Khan University, Karachi.
Medical Student, The Aga Khan University, Karachi.
J Coll Physicians Surg Pak. 2014 May;24 Suppl 2:S96-8.
Myocarditis complicating Plasmodium vivax malaria is an extremely rare complication. We report this development in a young girl who was diagnosed to have P. vivax malaria on the basis of peripheral smear. While undergoing antimalarial treatment, she developed respiratory distress requiring invasive mechanical ventilation and inotropic support due to cardiogenic shock secondary to myocarditis. Cardiovascular complications are well recognized with Plasmodium falciparum malaria. Nevertheless, a high index of suspicion should be maintained for the same in Plasmodium vivax infection especially if symptoms of heart failure develop in a young patient.
间日疟并发心肌炎是一种极其罕见的并发症。我们报告了一名年轻女孩的这一病情发展，该女孩根据外周血涂片被诊断为间日疟。在接受抗疟治疗期间，她因心肌炎继发的心源性休克出现呼吸窘迫，需要有创机械通气和使用正性肌力药物支持。恶性疟并发心血管并发症已广为人知。然而，对于间日疟感染，尤其是年轻患者出现心力衰竭症状时，应保持高度警惕。
