Severe orthostatic hypotension in otherwise uncomplicated Plasmodium vivax infection

Impaired autonomic control of postural homeostasis resulting in orthostatic hypotension has been described in falciparum malaria. However, severe orthostatic intolerance in Plasmodium vivax has been rarely reported. A case of non-immune previously healthy Thai woman presenting with P. vivax infectio...

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Autores principales: Sivakorn, Chaisith, Wilairatana, Polrat, Krudsood, Srivicha, Schultz, Marcus J., Techarang, Tachpon, Kheawsawaung, Khanittha, Dondorp, Arjen M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7792005/
https://www.ncbi.nlm.nih.gov/pubmed/33413379
http://dx.doi.org/10.1186/s12936-020-03564-3
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author Sivakorn, Chaisith
Wilairatana, Polrat
Krudsood, Srivicha
Schultz, Marcus J.
Techarang, Tachpon
Kheawsawaung, Khanittha
Dondorp, Arjen M.
author_facet Sivakorn, Chaisith
Wilairatana, Polrat
Krudsood, Srivicha
Schultz, Marcus J.
Techarang, Tachpon
Kheawsawaung, Khanittha
Dondorp, Arjen M.
author_sort Sivakorn, Chaisith
collection PubMed
description Impaired autonomic control of postural homeostasis resulting in orthostatic hypotension has been described in falciparum malaria. However, severe orthostatic intolerance in Plasmodium vivax has been rarely reported. A case of non-immune previously healthy Thai woman presenting with P. vivax infection with well-documented orthostatic hypotension is described. In addition to oral chloroquine and intravenous artesunate, the patient was treated with fluid resuscitation and norepinephrine. During hospitalization, her haemodynamic profile revealed orthostatic hypotension persisting for another three days after microscopic and polymerase chain reaction confirmed parasite clearance. Potential causes are discussed.
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spelling pubmed-77920052021-01-11 Severe orthostatic hypotension in otherwise uncomplicated Plasmodium vivax infection Sivakorn, Chaisith Wilairatana, Polrat Krudsood, Srivicha Schultz, Marcus J. Techarang, Tachpon Kheawsawaung, Khanittha Dondorp, Arjen M. Malar J Case Report Impaired autonomic control of postural homeostasis resulting in orthostatic hypotension has been described in falciparum malaria. However, severe orthostatic intolerance in Plasmodium vivax has been rarely reported. A case of non-immune previously healthy Thai woman presenting with P. vivax infection with well-documented orthostatic hypotension is described. In addition to oral chloroquine and intravenous artesunate, the patient was treated with fluid resuscitation and norepinephrine. During hospitalization, her haemodynamic profile revealed orthostatic hypotension persisting for another three days after microscopic and polymerase chain reaction confirmed parasite clearance. Potential causes are discussed. BioMed Central 2021-01-07 /pmc/articles/PMC7792005/ /pubmed/33413379 http://dx.doi.org/10.1186/s12936-020-03564-3 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Sivakorn, Chaisith
Wilairatana, Polrat
Krudsood, Srivicha
Schultz, Marcus J.
Techarang, Tachpon
Kheawsawaung, Khanittha
Dondorp, Arjen M.
Severe orthostatic hypotension in otherwise uncomplicated Plasmodium vivax infection
title Severe orthostatic hypotension in otherwise uncomplicated Plasmodium vivax infection
title_full Severe orthostatic hypotension in otherwise uncomplicated Plasmodium vivax infection
title_fullStr Severe orthostatic hypotension in otherwise uncomplicated Plasmodium vivax infection
title_full_unstemmed Severe orthostatic hypotension in otherwise uncomplicated Plasmodium vivax infection
title_short Severe orthostatic hypotension in otherwise uncomplicated Plasmodium vivax infection
title_sort severe orthostatic hypotension in otherwise uncomplicated plasmodium vivax infection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7792005/
https://www.ncbi.nlm.nih.gov/pubmed/33413379
http://dx.doi.org/10.1186/s12936-020-03564-3
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