COMPLICATED MALARIA: RAPID PARASITEMIA A RARE PHENOMENON

Dr. Ashutosh Tiwari* and Dr. Shubhangi

ABSTRACT

Malaria, a severe disease transmitted to humans by the bite of female mosquitoes infected with parasites of the genus Plasmodium, has been reported to affect around 219 million people and cause 435,000 deaths in 2017 worldwide.[1] Globally, its mortality rate ranges from 0.3%-2.2%, with most commonly encountered fatal outcomes (11%-30%) in regions with tropical climate.[2] The severity of the disease rests on several factors like microvascular occlusion, acidosis, and other metabolic derangements, leading to severe manifestations of malaria in the form of acute respiratory distress syndrome, renal insufficiency, and cerebral malaria. We report one such case of sever malaria, with the patient landing up into concomitant septic shock, severe hepatic dysfunction, rhabdomyolysis, and renal dysfunction.

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