Kilenzi Irene, Datoo Adil, Gabone Jacqueline, Ngowi Elisamia, Mazoko Mugisha Clement
Department of Surgery, Aga Khan Hospital, P.O. Box 2289, Dar Es Salaam, Tanzania; Department of Surgery, Aga Khan University, P.O. Box 38129, Dar Es Salaam, Tanzania.
Department of Radiology, Aga Khan Hospital, P.O. Box 2289, Dar Es Salaam, Tanzania.
Int J Surg Case Rep. 2025 Jan;126:110739. doi: 10.1016/j.ijscr.2024.110739. Epub 2024 Dec 13.
Malaria is a vector-borne disease caused by protozoa and a major cause of mortality and morbidity worldwide. Falciparum malaria causes most malaria-related deaths, and rarely is it associated with subdural hematoma.
We present a 40-year-old male diagnosed with falciparum malaria. The patient was on treatment for malaria when he developed neurological symptoms, and a CT scan showed subdural hematoma necessitating surgical intervention.
This case highlights subdural hematoma as a very rare complication of falciparum malaria. There was a recurrence of the subdural hematoma within 2 weeks despite initial intervention, but the patient attained resolution of symptoms after re-evacuation.
Subdural hematoma is a very rare complication of plasmodium falciparum and physicians ought to have a high index of suspicion especially in endemic regions.
疟疾是一种由原生动物引起的媒介传播疾病,是全球死亡和发病的主要原因。恶性疟原虫导致大多数与疟疾相关的死亡,且很少与硬膜下血肿相关。
我们报告一名40岁男性,被诊断为恶性疟原虫疟疾。该患者在接受疟疾治疗时出现神经症状,CT扫描显示硬膜下血肿,需要进行手术干预。
本病例突出了硬膜下血肿作为恶性疟原虫疟疾一种非常罕见的并发症。尽管进行了初始干预,但硬膜下血肿在2周内复发,但患者在再次引流后症状得到缓解。
硬膜下血肿是恶性疟原虫一种非常罕见的并发症,医生应保持高度怀疑指数,尤其是在流行地区。