Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.
KMID : 0984720090410050309
Infection and Chemotherapy
2009 Volume.41 No. 5 p.309 ~ p.313
A Case of Plasmodium vivax Malaria with Cerebral Complication
Kim Moon-Suk

Park Wan-Beom
Kim Hong-Bin
Kim Nam-Joong
Oh Myoung-Don
Kim Ga-Yeon
Hong Yoon-Ho
Jeon Jae-Hyun
Kim Nak-Hyun
Park Sang-Won
Kang Yu-Min
Abstract
Plasmodium vivax malaria is an endemic disease in Korea, which rarely causes severe complications including those occurring in the cerebrum. There are limited numbers of complicated cases that have been reported around the world. We experienced a case of vivax malaria with cerebral complication: cognitive impairment and ataxia. A 55-year-old female with diabetes mellitus presented to the emergency department with acute fever of two days¡¯ duration. She did not have any history of travelling abroad or receiving blood transfusions. Peripheral blood smear revealed vivax malaria with parasitemia density of 0.53 percent. She demonstrated loss of orientation, especially regarding time and place, and ataxia. Although the initial hydroxychloroquine treatment for malaria was successful, cognitive impairment and ataxia persisted and were not recovered. Brain MRI showed no structural abnormality. Brain PET showed diffuse hypometabolism in right parieto-temporal lobe of the brain.
KEYWORD
Plasmodium vivax, Cerebral malaria, Korea
FullTexts / Linksout information
 
Listed journal information
ÇмúÁøÈïÀç´Ü(KCI) KoreaMed ´ëÇÑÀÇÇÐȸ ȸ¿ø