Qadeer Aayesha, Akhtar Aftab, Rasheed Amna
Department of Critical Care Medicine, Intensive Care Unit, Shifa International Hospital, Islamabad, Pakistan.
Department of Pulmonology and Critical Care, Shifa International Hospital, Islamabad, Pakistan.
J Pak Med Assoc. 2016 Mar;66(3):351-3.
Plasmodium Vivax malaria is generally considered as a benign self-limiting illness and is less often associated with more severe disease and complications. Amongst these, acute respiratory distress syndrome (ARDS) is a particularly rare complication. The few cases reported describe the onset of ARDS after initiation of anti-malarial therapy as a post inflammatory response. Here we report the case of a 45 year old male who was a victim of severe Plasmodium vivax malaria culminating into ARDS, prior to the initiation of anti-malarial therapy. He was treated with invasive ventilation and anti-malarial therapy and made a complete and uneventful recovery.
间日疟原虫疟疾通常被认为是一种良性的自限性疾病,较少与更严重的疾病和并发症相关。其中,急性呼吸窘迫综合征(ARDS)是一种特别罕见的并发症。少数报告的病例描述了抗疟治疗开始后ARDS的发作是一种炎症后反应。在此,我们报告一例45岁男性病例,他在开始抗疟治疗之前就因严重的间日疟原虫疟疾最终发展为ARDS。他接受了有创通气和抗疟治疗,并完全康复且过程顺利。