Atypical Plasmodium vivax malaria in a traveler: bilateral hydronephrosis, severe thrombocytopenia, and hypotension

J Travel Med. Mar-Apr 2008;15(2):119-21. doi: 10.1111/j.1708-8305.2007.00178.x.

Abstract

We report a case of Plasmodium vivax infection manifested as severe thrombocytopenia, bilateral hydronephrosis, and hypotension in a returning traveler from a malaria-endemic area in Venezuela. While most of the efforts to prevent malaria in travelers focus on the life-threatening consequences of Plasmodium falciparum malaria, nonimmune travelers who encounter infection with P vivax may also develop serious complications. This case highlights the importance of preventing malaria cases among nonimmune or semi-immune individuals traveling to P vivax-endemic areas.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Animals
  • Antimalarials / administration & dosage
  • Chloroquine / administration & dosage
  • Humans
  • Hydronephrosis / drug therapy
  • Hydronephrosis / parasitology*
  • Hypotension / drug therapy
  • Hypotension / parasitology*
  • Malaria, Vivax / complications*
  • Malaria, Vivax / diagnosis*
  • Malaria, Vivax / drug therapy
  • Male
  • Plasmodium vivax / isolation & purification*
  • Primaquine / administration & dosage
  • Thrombocytopenia / drug therapy
  • Thrombocytopenia / parasitology*
  • Travel
  • Treatment Outcome
  • Venezuela

Substances

  • Antimalarials
  • Chloroquine
  • Primaquine