Skip to main content
Top
Published in: Malaria Journal 1/2013

Open Access 01-12-2013 | Case report

Hypokalaemic paralysis in an adult case of Plasmodium vivax malaria

Authors: Sagar Sinha, Ananya Mukherji, Santwana Chandrakar

Published in: Malaria Journal | Issue 1/2013

Login to get access

Abstract

Hypokalaemia and its subsequent complications are more often seen in children rather than in adults and are more common with falciparum malaria. This is a case of a 26-year-old male with Plasmodium vivax malaria who had developed paraparesis secondary to hypokalaemia. His treatment involved correction of the potassium level as well as the treatment of malaria. Such an atypical manifestation of malaria in an adult has not been previously documented.
Appendix
Available only for authorised users
Literature
1.
go back to reference National Institute of Malaria Research and National Vector Borne Disease Control Programme: Guidelines for Diagnosis and Treatment of Malaria in India 2011. 2011, New Delhi, India: National Institute of Malaria Research National Institute of Malaria Research and National Vector Borne Disease Control Programme: Guidelines for Diagnosis and Treatment of Malaria in India 2011. 2011, New Delhi, India: National Institute of Malaria Research
2.
go back to reference World Health Organization: World Malaria Report: 2012. 2012, Geneva: WHO World Health Organization: World Malaria Report: 2012. 2012, Geneva: WHO
3.
go back to reference Gogtay NJ, Kadam VS, Desai S, Kamtekar KD, Dalvi SS, Kshirsagar NA: A cost effectiveness analysis of three antimalarial treatments for acute, uncomplicated Plasmodium falciparum malaria in Mumbai India. J Assoc Physicians India. 2003, 51: 877-PubMed Gogtay NJ, Kadam VS, Desai S, Kamtekar KD, Dalvi SS, Kshirsagar NA: A cost effectiveness analysis of three antimalarial treatments for acute, uncomplicated Plasmodium falciparum malaria in Mumbai India. J Assoc Physicians India. 2003, 51: 877-PubMed
4.
go back to reference Dworak JA, Miller LH, Whitehouse WC, Shirosh T: Invasion of the electrolytes by the malaria parasite. Science. 1975, 187: 748-750. 10.1126/science.803712.CrossRef Dworak JA, Miller LH, Whitehouse WC, Shirosh T: Invasion of the electrolytes by the malaria parasite. Science. 1975, 187: 748-750. 10.1126/science.803712.CrossRef
5.
go back to reference Maitland K, Pamba A, Newton CR, Lowe B, Levin M: Hypokalaemia in children with severe falciparum malaria. Pediatr Crit Care Med. 2004, 5: 81-85. 10.1097/01.PCC.0000102398.91277.08.CrossRefPubMed Maitland K, Pamba A, Newton CR, Lowe B, Levin M: Hypokalaemia in children with severe falciparum malaria. Pediatr Crit Care Med. 2004, 5: 81-85. 10.1097/01.PCC.0000102398.91277.08.CrossRefPubMed
6.
go back to reference Jasani JH, Sancheti SM, Gheewala BS, Bhuva KV, Doctor VS, Vacchani AB, Patel VR, Dharya L: Association of the electrolyte disturbances (Na+, K+) with the type and severity of the malarial parasitic infection. J Clin Diagn Res. 2012, 6: 678-681. Jasani JH, Sancheti SM, Gheewala BS, Bhuva KV, Doctor VS, Vacchani AB, Patel VR, Dharya L: Association of the electrolyte disturbances (Na+, K+) with the type and severity of the malarial parasitic infection. J Clin Diagn Res. 2012, 6: 678-681.
7.
go back to reference Ikekpeazu JE, Neboh EE, Aguchime NC, Maduka IC, Anyanwu EG: Malaria parasitaemia: effect on serum sodium and potassium levels. Biol Med. 2010, 2: 20-25. Ikekpeazu JE, Neboh EE, Aguchime NC, Maduka IC, Anyanwu EG: Malaria parasitaemia: effect on serum sodium and potassium levels. Biol Med. 2010, 2: 20-25.
8.
go back to reference Thanachartwet V, Krudsood S, Tangpukdee N, Phumratanaprapin W, Silachamroon U, Leowattana W, Wilairatana P, Brittenham GM, Looareesuwan S, Neild GH: Hyponatraemia and hypokalaemia in adults with uncomplicated malaria in Thailand. Trop Doct. 2008, 38: 155-157. 10.1258/td.2007.070112.PubMedCentralCrossRefPubMed Thanachartwet V, Krudsood S, Tangpukdee N, Phumratanaprapin W, Silachamroon U, Leowattana W, Wilairatana P, Brittenham GM, Looareesuwan S, Neild GH: Hyponatraemia and hypokalaemia in adults with uncomplicated malaria in Thailand. Trop Doct. 2008, 38: 155-157. 10.1258/td.2007.070112.PubMedCentralCrossRefPubMed
9.
go back to reference Rampal , Sharda M, Meena H: Hypokalaemic paralysis following chikungunya fever. J Assoc Physicians India. 2007, 55: 598-PubMed Rampal , Sharda M, Meena H: Hypokalaemic paralysis following chikungunya fever. J Assoc Physicians India. 2007, 55: 598-PubMed
10.
go back to reference Jha S, Ansari MK: Dengue infection causing acute hypokalaemic quadriparesis. Neurol India. 2010, 58: 592-594. 10.4103/0028-3886.68657.CrossRefPubMed Jha S, Ansari MK: Dengue infection causing acute hypokalaemic quadriparesis. Neurol India. 2010, 58: 592-594. 10.4103/0028-3886.68657.CrossRefPubMed
11.
go back to reference Baburaj P, Varma SS, Harikrishnan BL: Hypokalaemic paralysis in leptospirosis. J Assoc Physicians India. 2012, 60: 53-PubMed Baburaj P, Varma SS, Harikrishnan BL: Hypokalaemic paralysis in leptospirosis. J Assoc Physicians India. 2012, 60: 53-PubMed
13.
go back to reference Garg RK, Karak B, Misra S: Neurological manifestations of malaria: an update. Neurol India. 1999, 47: 85-91.PubMed Garg RK, Karak B, Misra S: Neurological manifestations of malaria: an update. Neurol India. 1999, 47: 85-91.PubMed
14.
go back to reference Sokrab TE, Eltahir A, Idris MN, Hamid M: Guillain-Barré syndrome following acute falciparum malaria. Neurology. 2002, 59: 1281-1283. 10.1212/WNL.59.8.1281.CrossRefPubMed Sokrab TE, Eltahir A, Idris MN, Hamid M: Guillain-Barré syndrome following acute falciparum malaria. Neurology. 2002, 59: 1281-1283. 10.1212/WNL.59.8.1281.CrossRefPubMed
15.
go back to reference Praveen K, Subrahmanyam D: A rare cause of Guillain-Barre syndrome. Int J Nutr Pharmacol Neurol Dis. 2011, 1: 204-205. 10.4103/2231-0738.84216.CrossRef Praveen K, Subrahmanyam D: A rare cause of Guillain-Barre syndrome. Int J Nutr Pharmacol Neurol Dis. 2011, 1: 204-205. 10.4103/2231-0738.84216.CrossRef
16.
go back to reference Rajapurkar MM: Renal involvement in malaria. J Postgrad Med. 1994, 40: 132-PubMed Rajapurkar MM: Renal involvement in malaria. J Postgrad Med. 1994, 40: 132-PubMed
17.
go back to reference Hara Y, Yamawaki H, Shimada M, Okada K, Tanai T, Ichikawa D, Miyake K, Kizaki K: Anticholinergic effects of artemisinin, an antimalarial drug, in isolated guinea pig heart preparations. J Vet Sci. 2007, 69: 697-10.1292/jvms.69.697.CrossRef Hara Y, Yamawaki H, Shimada M, Okada K, Tanai T, Ichikawa D, Miyake K, Kizaki K: Anticholinergic effects of artemisinin, an antimalarial drug, in isolated guinea pig heart preparations. J Vet Sci. 2007, 69: 697-10.1292/jvms.69.697.CrossRef
18.
go back to reference Zaki SA, Shanbag P: A typical manifestations of malaria. Res Rep Trop Med. 2011, 2: 9-22. Zaki SA, Shanbag P: A typical manifestations of malaria. Res Rep Trop Med. 2011, 2: 9-22.
Metadata
Title
Hypokalaemic paralysis in an adult case of Plasmodium vivax malaria
Authors
Sagar Sinha
Ananya Mukherji
Santwana Chandrakar
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Malaria Journal / Issue 1/2013
Electronic ISSN: 1475-2875
DOI
https://doi.org/10.1186/1475-2875-12-111

Other articles of this Issue 1/2013

Malaria Journal 1/2013 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine