Affiliations 

  • 1 Lahad Datu Hospital, Department of Medicine, Lahad Datu, Sabah, Malaysia
  • 2 Lahad Datu Hospital, Emergency Department, Lahad Datu, Sabah, Malaysia
  • 3 Queen Elizabeth Hospital, Department of Medicine, Infectious Disease Unit, Kota Kinabalu, Sabah, Malaysia. henggee77@gmail.com
Med J Malaysia, 2020 03;75(2):171-172.
PMID: 32281602

Abstract

We report a rare case of severe Plasmodium knowlesi malaria and dengue co-infection in a 36-year-old lady with hyperparasitaemia, metabolic acidosis, haemolysis and acute kidney injury. She was in shock requiring inotropic support and elective intubation. She had pericardial tamponade which necessitate pericardiocentesis to allow for haemodynamic stability during haemodialysis. She underwent haemodialysis, was ventilated for six days and stayed in hospital for 29 days. She was discharged home well with almost complete renal recovery. Physicians must have a high degree of suspicion for dengue co-infection in malaria patients with plasma leakage such as pericardial effusion to allow for prompt management.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.