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Case Reports
Retinal Hemorrhage in an Adult with P. vivax Malaria
Soo Mi Kim/Kwon Beom Kim/Hee Jin Jung/Woo Joo Kim/Min Ja Kim/Seung Chull Park
Division of Infectious Disease, College of Medicine, Korea University, Seoul, Korea. Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea.
Vol.29 Num.4 (p323~326)
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.
Keywords : P. vivax malaria, Retinal hemorrhage