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Case Reports
Severe malaria presenting to the ED: A collaborative approach utilizing exchange transfusion and artesunate.
- David Zodda, Gabrielle Procopio, Kevin Hewitt, Andrew Parrish, Bindu Balani, and Joseph Feldman.
- Hackensack University Medical Center, Hackensack, NJ 07601, United States. Electronic address: dzodda@gmail.com.
- Am J Emerg Med. 2018 Jun 1; 36 (6): 1126.e1-1126.e4.
AbstractWe describe the case of a previously healthy 33year-old male pilot recently arrived to the United States from Africa. The patient presented to our ED febrile and disoriented, with projectile coffee-ground emesis. He was later found to have severe malaria and cerebral parasitemia. Due to the severity of his illness, the patient received the anti-malarial medication Artesunate as well as several exchange transfusions. Within 48h his parasitic load was reduced from 42% to 0.4%. The following is an account of a collaborative effort that spans the specialties of emergency medicine, infectious disease, and critical care medicine.Published by Elsevier Inc.
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