Presentation
Interestingly, patients with serum Th1 cytokine profile present inversely proportional parasitaemia to the increase in the number of Th1, Th2, Th17 and Treg cells while patients with serum Th2 cytokine profile present directly proportional parasitaemia [ncbi.nlm.nih.gov]
Presenting symptoms usually include fever or a recent history of fever. [journal.pulmccm.org]
Entire Body System
- Weakness
RESULTS: A weak but significant correlation was found between patient blood gametocytaemia/parasitaemia and mosquito oocyst load. [ncbi.nlm.nih.gov]
This strategy should overcome the main weakness of previous investigations by exploring and characterizing the full repertoire of parasite ligands involved in invasion of human reticulocytes in Malagasy malaria endemic settings where two human populations [research.pasteur.fr]
Vivax malaria causes symptoms of recurrent fever and chills, headache, weakness, vomiting and diarrhea. While vivax malaria rarely causes death, its symptoms have a negative social and economic impact. [koreatimes.co.kr]
After taking clarithromycin 500 mg orally twice daily for five days, he presented to the emergency department with complaints of ongoing fever, increasing weakness, dizziness, nausea and diarrhea. [journal.pulmccm.org]
- Recurrent Infection
To the best of our knowledge, this is the first large-scale study to evaluate recurrent P. vivax infections using whole genome sequencing. [ncbi.nlm.nih.gov]
In 61% of the Thai and Burmese patients and in 55% of the Indian patients, the recurrent infections contained none of the parasite genotypes that caused the acute infection. Conclusions. [academic.oup.com]
[…] rapid recurrence of infection was observed during follow-up—most likely due to relapses. [elifesciences.org]
- Intermittent Fever
Case Report A 43-year-old male, resident of eastern India, arrived at the hospital emergency room with complaints of high grade, intermittent fever associated with chills and rigors during seven days. [scielo.br]
According to historical accounts, intermittent fever conditions with the hallmarks of severe malaria—thus likely associated to P. falciparum— spread to India about 3,000 y ago and reached Greece maybe 500 y later. [pnas.org]
Respiratoric
- Respiratory Distress
Severe anaemia and respiratory distress occur at all ages, although severe anaemia is particularly common in young children. [severemalaria.org]
However, severe complications, such as acute respiratory distress syndrome (ARDS) in Pv infection, are emerging. This case report highlights the complication of ARDS during the course of Pv infection in a 60-year-old woman. [ncbi.nlm.nih.gov]
Acute lung injury and acute respiratory distress syndrome in malaria. J Vector Borne Dis 2008;45:179-93. [PMID: 18807374] Price L, Planche T, Rayner C, Krishna S. [pancreas.imedpub.com]
We report a case of Acute Respiratory Distress Syndrome (ARDS) complicating infection with P vivax malaria from Venezuela. [doi.org]
Acute lung injury and acute respiratory distress syndrome in malaria. J Vector Borne Dis 2008;45:179-93. 5. Price L, Planche T, Rayner C, Krishna S. [atmph.org]
- Dyspnea
Two days later, he went back to the hospital with abdominal pain, dyspnea, dry cough, pallor, oliguria and fever. Using a portable ultrasound, he was diagnosed of rupture of the spleen, which was removed by emergency surgery. [ncbi.nlm.nih.gov]
The clinical condition of the patient—severe dyspnea—worsened, the oxygen saturation remained at 89%, and the radiological picture was consistent with an ARDS ( Figure 1 ); the patient was therefore transferred to the intensive care unit for respiratory [doi.org]
Gastrointestinal
- Overeating
Generalized estimating equations were performed to determine gene influences on parasitemia and/or gametocytemia clearance over treatment time. [ncbi.nlm.nih.gov]
- Diarrhea
Vivax malaria causes symptoms of recurrent fever and chills, headache, weakness, vomiting and diarrhea. While vivax malaria rarely causes death, its symptoms have a negative social and economic impact. [koreatimes.co.kr]
After taking clarithromycin 500 mg orally twice daily for five days, he presented to the emergency department with complaints of ongoing fever, increasing weakness, dizziness, nausea and diarrhea. [journal.pulmccm.org]
The most frequent symptoms include fever and chills, which can be accompanied by headache, myalgias, arthralgias, weakness, vomiting, and diarrhea. Other clinical features include splenomegaly, anemia, and thrombocytopenia. Diagnosis. [atlas.or.kr]
[…] occur irregularly but eventually become more synchronous, assuming the usual tertian ( P. vivax, P. falciparum and P. ovale ) or quartan ( P. malariae ) periodicity Patients with malaria may develop anemia and may have other manifestations, including diarrhea [pathologyoutlines.com]
- Intestinal Disease
[…] to antimicrobial drugs ( Z16.- ) Certain infectious and parasitic diseases B50-B64 2019 ICD-10-CM Range B50-B64 Protozoal diseases Type 1 Excludes amebiasis ( A06.- ) other protozoal intestinal diseases ( A07.- ) Protozoal diseases B51 ICD-10-CM Diagnosis [icd10data.com]
Cardiovascular
- Hypertension
There was no evidence of portal hypertension. An upper gastrointestinal endoscopy was done subsequently which was suggestive of hemorrhagic gastritis. No actively bleeding lesions were noted. [atmph.org]
Absence of other co-morbidities like pneumonia, enteric fever, varicella-zoster virus, diabetes, hypertension etc. was also confirmed. Lumbar puncture and CT scans were performed without any pathological findings. [alliedacademies.org]
It is more noticeable in areas of unstable transmission where older adults suffering from chronic conditions such as hypertension, diabetes, or cirrhosis are more prone to develop malarial disease [60]. [journals.plos.org]
Skin
- Skin Rash
Case study Patient 1 A 14-year old female was brought in and admitted to Kalawati Saran Children’s Hospital, a tertiary care hospital in New Delhi, in September 2013, with repeated convulsions since the past two days, giddiness, skin rash, muscle aches [alliedacademies.org]
Neurologic
- Forgetful
[…] sometimes impossible to distinguish with P ovale but some clues: More Schuffner dot’s in ovale Fimbriated red cells in ovale Less merozoites seen in ovale and arranged irregulary (bunch of grapes) Travel history – vivax: tropics, ovale: West Africa Don’t forget [blood-academy.com]
Department of Global Health, Center for Global Health and Development, Boston University School of Public Health, Boston, MA, USA cgill{at}bu.edu New insights into an old enemy Plasmodium falciparum malaria is so lethal and ubiquitous that one could easily forget [bmj.com]
- Vertigo
The information, which is included in the patient medication guide and in a new boxed warning on the label, cautions that vestibular symptoms, which include dizziness, loss of balance, vertigo, and tinnitus, can occur. [34, 35] The FDA also warns that [emedicine.medscape.com]
Workup
As pain abdomen in such patients can rarely be either due to gastrointestinal haemorrhage [ 13 ] or acute pancreatitis, a meticulous clinical workup can be life saving. Conflicting Interest The authors had no conflicts of interest. [pancreas.imedpub.com]
A sepsis workup was performed including blood- and urine culture, and a microscopic examination of the urine sediment. Because of maternal malaria infection, malaria screening of the neonate was included. [pediatric-infectious-disease.imedpub.com]
Treatment
SLCO1A2 and SLCO1B1 gene treatment over time interactions were associated with gametocytemia clearance rate (p FDR = 0.018 and p FDR = 0.024). ABCB1, ABCC4 and SLCO1B3 were not associated with treatment response. [ncbi.nlm.nih.gov]
Prognosis
[…] malaria has a good prognosis and causes significantly fewer complications than falciparum malaria. [ncbi.nlm.nih.gov]
As compared with complicated falciparum malaria with ARDS, the prognosis is relatively better in ARDS in patients with complicated vivax malaria. [4], [5], [6], [7] Gastrointestinal hemorrhage as a complication of P. vivax malaria again is extremely rare [atmph.org]
PubMed Central View Article PubMed Google Scholar Garrett-Jones C: Prognosis for interruption of malaria transmission through assessment of the mosquito's vectorial capacity. Nature. 1964, 204: 1173-1175. 10.1038/2041173a0. [doi.org]
Manning L, Laman M, Law I, Bona C, Aipit S, et al. (2011) Features and prognosis of severe malaria caused by Plasmodium falciparum, Plasmodium vivax and mixed Plasmodium species in Papua New Guinean children. PLoS One 6: e29203. [journals.plos.org]
Etiology
[…] clinically by fever, anemia and splenomegaly and is caused by apicomplexan parasites of the genus Plasmodium P. vivax infections occur in both tropical and temperate zones, between 45° N and 40° S ( WHO: Malaria [Accessed 10 January 2018] ) Pathophysiology / etiology [pathologyoutlines.com]
PIP: The etiology of malnutrition was investigated in a cohort of all 1511 children under 10 years of age living in 13 villages in the island of Espiritu Santo, Vanuatu, where malaria is endemic. 18% of children under 5 years were underweight, 5% were [pubmed.ncbi.nlm.nih.gov]
The paper presents views on EIDs etiology and spread and explains the epidemiologic basic terminology. It describes the principles and methods of EIDs risk assessment as well as prioritization of EIDs with regard to transfusion risk. [researchgate.net]
Etiology Plasmodium vivax is a protozoal infection spread via the Anopheles mosquito. Epidemiology Global Epidemiology P. vivax is the most widespread of the malaria species. [ncbi.nlm.nih.gov]
The pursuit proved fruitless, and when Garnham in 1930 definitively failed to induce malaria in subjects infected only with gametocytes, the way was finally cleared for new ideas about the etiology of relapse. [vivaxmalaria.com]
Epidemiology
The implication of different incubating forms of P. vivax on the epidemiology and control of malaria is also discussed. [ncbi.nlm.nih.gov]
Chapter 2 examines geographic variation in the epidemiology of P. vivax, especially the timing of incubation periods and of relapses, by origin of the parasites. [arxiv.org]
The implication of different incubating forms of P. vivax on the epidemiology and control of malaria is also discussed. © The American Society of Tropical Medicine and Hygiene Article metrics loading... [doi.org]
Pathophysiology
Lung injury in vivax malaria: pathophysiological evidence for pulmonary vascular sequestration and posttreatment alveolar-capillary inflammation. J Infect Dis 2007; 195:589-96. [PMID: 17230420] Desai DC, Gupta T, Sirsat RA, Shete M. [pancreas.imedpub.com]
Tis activity reviews the presentation and pathophysiology of malaria and highlights the role of the interprofessional team in its management. Objectives: Describe the epidemiology of malaria. Review the pathophysiology of malaria. [ncbi.nlm.nih.gov]
Sa, PhD, National Institutes of Health 10:30 AM Networking Coffee Break Session 6: From Bench to Bedside: Pathophysiology of Severe P. vivax Malaria Co-Chairs: Marcus V. [nyas.org]
[…] characterized clinically by fever, anemia and splenomegaly and is caused by apicomplexan parasites of the genus Plasmodium P. vivax infections occur in both tropical and temperate zones, between 45° N and 40° S ( WHO: Malaria [Accessed 10 January 2018] ) Pathophysiology [pathologyoutlines.com]
Prevention
China. 6 Department of Parasitic Disease Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, P. R. China. [ncbi.nlm.nih.gov]
Prevention of malaria Infection with malaria is preventable provided recommended precautions are implemented. [journal.pulmccm.org]
Trademarks owned or licensed by GSK GSK Product category Tafenoquine Therapeutic indication Radical cure (prevention of relapse) of P. vivax malaria Dosing Single-dose 300mg (adult) treatment Efficacy Phase III data confirms 62% recurrence-free (relapses [mmv.org]
Single-dose tafenoquine to prevent relapse of Plasmodium vivax malaria. N Engl J Med 2019;380:215-228. 10. World Health Organization. [nejm.org]