Acute Kidney Injury and Post-Artesunate Delayed Haemolysis in the Course of Malaria.

Pathogens

Division of Occupational, Metabolic and Internal Diseases, University Centre of Maritime and Tropical Medicine, Medical University of Gdansk, 81-519 Gdynia, Poland.

Published: September 2024

AI Article Synopsis

  • * Severe malaria can lead to serious health problems, and intravenous artesunate is recommended for treatment, especially in areas where malaria is not commonly found.
  • * A case study of a seafarer illustrates potential complications from malaria treatment, emphasizing the importance of prophylactic measures for travelers and the need for ongoing monitoring after treatment to catch late complications like post-artesunate haemolysis.

Article Abstract

Malaria is a major international public health problem. The risk of acquiring malaria varies depending on the intensity of transmission and adherence to mosquito precautions and prophylaxis recommendations. Severe malaria can cause significant multiorgan dysfunction, including Intravenous artesunate is the treatment of choice for severe malaria in non-endemic areas. One of the possible events connected with the lifesaving effects of artemisins is post-artesunate haemolysis (PADH), which may be potentially dangerous and under-recognised. We present a case of a seafarer with severe malaria complicated with AKI and PADH, with a good response to steroid treatment. This case highlights the need for malaria prophylaxis in business travellers, e.g., seafarers to malara-endemic regions, and close supervision of patients with malaria even after the completion of antimalarial treatment due to the possibility of late complications.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11509981PMC
http://dx.doi.org/10.3390/pathogens13100851DOI Listing

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