Pediatr Infect Vaccine.  2017 Aug;24(2):117-122. 10.14776/piv.2017.24.2.117.

Blackwater Fever Followed by Severe Falciparum Malaria in a Child

• Yang SI
• Choe YJ
• Lee HJ
• Choi EH

• KMID: 2401454
• DOI: http://doi.org/10.14776/piv.2017.24.2.117

Abstract

Blackwater fever is a serious clinical syndrome manifested by acute intravascular hemolysis, fever, and the passage of black or red urine, which is classically associated with falciparum malaria and irregular administration of quinine. In Korea, Plasmodium vivax is the only endemic malaria circulating; a number of imported cases of falciparum malaria have been reported in patients following return from international travel to a malaria endemic area. Therefore, it is important for health care professionals including pediatricians to be aware of the falciparum malaria and its clinical courses. Herein, we report a case of a 14-year-old girl with severe falciparum malaria that was complicated by blackwater fever.

Keyword

Blackwater fever; Quinine; Malaria, falciparum; Korea

MeSH Terms

Adolescent
Blackwater Fever*
Child*
Delivery of Health Care
Female
Fever
Hemolysis
Humans
Korea
Malaria*
Malaria, Falciparum
Plasmodium vivax
Quinine
Quinine

Figure

• 

  Fig. 1 Different morphological characteristics of Plasmodium falciparum observed in the case patient: (A) marginal form; (B) binucleate form; (C) polyparasitism (thin film; Wright-Giemsa stain, ×1,000).

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