Korean J Infect Dis.
1997 Jul;29(4):323-326.
Retinal Hemorrhage in an Adult with P. vivax Malaria
- Affiliations
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- 1Division of Infectious Disease, College of Medicine, Korea University, Seoul, Korea.
- 2Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea.
Abstract
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Malaria is a worldwide febrile illness with high morbidity and mortality. High fever, jaundice, hemolysis, and hepatosplenomegaly are usual symptoms and signs of malaria, whereas retinal hemorrhage is an unusual finding. Retinal hemorrhage has been known to be one of the clinical manifestations in severe Plasmodium falciparum infection, especially in children developing cerebral malaria. However, retinal hemorrhage can occur in adult patients with severe parasitemia, shizontemia, anemia and may occur in malaria infections caused by other Plasmodium species, because it is due to dense parasitemia in deep vascular beds. A case of Plasmodium vivax malaria with retinal hemorrhage has not been reported as yet. We report a Plasmodium vivax malaria patient with retinal hemorrhage, who presented with severe schizontemia and anemia.