Korean J Infect Dis.
1999 Feb;31(1):41-45.
A Case of Transfusion Induced Malaria Presenting as a Fever of Unknown Origin
- Affiliations
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- 1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
- 2Department of Parasitology, Seoul National University College of Medicine, Seoul, Korea.
- 3Department of Medical Zoology, National Institute of Health, Blood Transfusion Research Institute, Seoul, Korea.
- 4Korean Red Cross, Seoul, Korea.
Abstract
- We report a case of a 39 year-old woman with transfusion-induced malaria presenting as fever of unknown origin. She had been well until 2 months ago when lower abdominal pain developed. Pelvic ultrasonography revealed an ovarian mass and an operation was performed. Two weeks after the operation, she developed a fever. Peripheral blood smear revealed developmental stages of Plasmodium vivax. The patient had received two units of whole blood during the operation, which was later proven to have been donated by a asymptomatic soldier who contracted tertian malaria while serving near the DMZ, an endemic area of malaria in South Korea. Considering such a case, malaria should be included in the differential diagnosis of post-transfusion febrile episodes.
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