Acute Kidney injury due to severe Malaria, requiring an Intensive care management: A case report
DOI:
https://doi.org/10.30442/Keywords:
Acute Kidney Injury, Haemodialysis, Multiorgan dysfunction, Severe malaria, Malaria nephropathyAbstract
Severe malaria can cause multiorgan dysfunction, including acute kidney injury (AKI), which is associated with high mortality when renal replacement therapy is unavailable. We report the management and recovery of a patient with severe malaria complicated by AKI. A 44-year-old man was referred after ten days of treatment at a private hospital. He presented with intermittent fever, weakness, and nausea, and had recently travelled to Papua, Indonesia, a malaria-endemic region. Microscopic examination confirmed a mixed infection with Plasmodium falciparum and Plasmodium vivax. Laboratory tests showed hyperparasitaemia, severe anaemia (Hb 5.1 g/dL), thrombocytopenia, electrolyte abnormalities, and AKI. The patient was managed in the Intensive Care Unit (ICU), received intravenous artesunate, and underwent three sessions of haemodialysis. He was discharged on day 11 with resolution of parasitaemia and marked improvement in organ function. Early haemodialysis contributed substantially to recovery from malaria-associated nephropathy.
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