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Cardiac Arrhythmia and Pericardial Effusion During Plasmodium vivax Infection
Je Sung You, M.D.1, Jin Hee Lee, M.D.1, Sung Pil Chung, M.D.1, Hong Du Goo, M.D.2 and In Cheol Park, M.D.1
1Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea 2Department of Emergency Medicine, National Health Insurance Corporation, Ilsan Hospital, Gyunggido, Korea
Vol.38 Num.6 (p407~410)
Plasmodium vivax is a typically seen infectious disease in Korea. The incidence of Plasmodium vivax malaria has been increasing in recent year despite of worldwide attempts at control. Fever, anemia, thrombocytopenia, and splenomegaly are the most common manifestations seen in Korean patient with P. vivax. Cardiac involvement is thought to be a very rare complication of malaria infection. Cardiac complication seems to be limited to acute infection with Plasmodium falcifarum. However we have experienced cardiac complication such as pericardial effusion, and complete AV block by Plasmodium vivax. Physicians should consider cardiac involvement in patient who present hypotension, fever and arrhythmia in malaria endemic area.
Keywords : Plasmodium vivax, Pericardial effusion, Arrhythmia