Article Text

PDF
CASE REPORT
Intracerebral bleed, right haemiparesis and seizures: an atypical presentation of vivax malaria
  1. Suman S Karanth1,
  2. Krishna Chaitanya Marupudi1,
  3. Anurag Gupta2
  1. 1Department of Internal Medicine, Kasturba Medical College, Manipal, Karnataka, India
  2. 2Department of Neurosurgery, Fortis Memorial Hospital, Manipal, Karnataka, India
  1. Correspondence to Dr Suman S Karanth, drsumansk{at}gmail.com

Summary

Falciparum malaria is notoriously known to produce life-threatening complications. Despite growing reports of chloroquine resistance and severe disease, vivax malaria continues to be viewed as a benign disease. We report a rare case of a 47-year-old healthy man from a malaria-endemic region, presenting with intracerebral bleed, right haemiparesis, aphasia and seizures following vivax malaria. This was successfully managed conservatively, without any neurosurgical intervention, with combination therapy of intravenous artesunate, oral hydroxychloquine and primaquine. In a country where Plasmodium vivax is responsible for majority of cases of malaria, it is high time the national malaria control programmes focus on the elimination of P. vivax in addition to its more dangerous counterpart, P. falciparum.

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.