Issue: 2008 > April > case report

Acute renal failure in <i>Plasmodium malariae</i> infection

S. Neri, D. Pulvirenti, I. Patamia, A. Zoccolo, P. Castellino


We report an unusual case of transfusion-transmitted
malaria which remained undiagnosed for several months
in an Italian woman splenectomised and polytransfused for thalassaemia major. The infecting species was <i>Plasmodium malariae</i>, and the patient developed acute renal failure, severe thrombocytopenia, and hepatic failure. Treatment with chlorochine was followed by a slow, but complete recovery of renal function.