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 Case Reports |
| A Case of Transfusion-Induced Malaria Presenting as Fever of Unknown Origin |
| In Kyong Jeong, M.D., Myoung-don Oh, M.D., Jong Yil Chai, M.D.*, Hyeong Woo Lee, M.S.†, Won Ja Lee, M.S.†, Jong Su Lee, Ph.D., Dong Hee Soe, M.D.‡ and Kang Won Choe, M.D. |
| Department of Internal Medicine and Department of Parasitology*, Seoul National University College of Medicine, Department of Medical Zoology, National Institute of Health†, Blood Transfusion Research Institute, Korean Red Cross‡, Seoul, Korea |
Vol.31 Num.1 (p41~45)
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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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Keywords : Malaria, Plasmodium vivax, Transfusion, Fever of unknown origin (FUO) |
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