Abstract:

Acute renal failure disseminated intravascular coagula­tion, acute respiratory distress syndrome (ARDS), hypo­glycemia, coma or epileptic seizures are manifestations of severe Plasmodium (P.) falciparum malaria. P. vivax malaria is rarely associated with severe complications. We report a case of 30-year-old male refugee coming from Pakistan, has been found in hospital garden as un­conscious. After therapy of pneumonia requiring intensive care unit and intensive supportive care, the patient left invasive mechanical ventilation (IMV). Because of contin­ued fever and chills attacks focused on malaria diagnosis, Plasmodium vivax malaria detected on thick peripheral blood smear. After intensive supportive care and specific anti-plasmodial therapy, the patient recovered and was discharged from hospital. The use of IMV vivax-malaria related ARDS was associated with a good outcome.

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