Subdural haematoma in Plasmodium falciparum and Plasmodium vivax mixed infection presenting multiple clinical complications

Punith B. Devaraju, Shashiraja Padukone, Shivakumar R. Veerabhadraiah, Vijayakumar S. Ramachandrappa, Narayan Panji, Pruthvi B. Chandrappagowda, Maheshmurthy B. Rudrappa, D. Channe Gowda, Rajeshwara N. Achur

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Abstract

A 40-year-old man was admitted to hospital with a 5 day history of fever, restlessness and altered sensorium. Peripheral blood smears showed a Plasmodium vivax and Plasmodium falciparum mixed infection as revealed by the presence of rings, schizonts and gametocyte forms of the parasites. The patient soon became unconscious due to subdural haematoma (SDH) associated with disseminated intravascular coagulation and thrombocytopenia. Immediate intervention with a right fronto-parieto temporal craniectomy, evacuation of the SDH and intravenous quinine administration resulted in the patient's complete recovery within 8 days of admission, and he was discharged in good clinical condition.

Original languageEnglish (US)
Pages (from-to)1902-1904
Number of pages3
JournalJournal of Medical Microbiology
Volume62
Issue numberPART 12
DOIs
StatePublished - Dec 2013

All Science Journal Classification (ASJC) codes

  • Microbiology
  • Microbiology (medical)

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