PLASMODIUM VIVAX: A SERIOUS IMPORTED INTESTINAL DISEASE IN TWO LOCATIONS IN PAKISTAN

Background: Unless there is an extreme case for each year in normal times, Plasmodium vivax is occasionally linked to a severe jungle fever imported into Pakistan. Two cases of extreme intestinal disease of P. vivax have arisen in cases having not any apparent coagulability. It is striking that both cases have not yet occurred at the essential contamination during landslides.

Presentation of the cases: Case 1: One 29-year-old man, conceived living in Pakistan since 2013, was admitted in May 2018 to Avicenna emergency center due to gastric disorders, extraordinary brain pain, temperature and hypotension. The patient was hemodynamically fragile in spite of 5 liters of filling product. One slight film of blood revealed trophozoites of P. vivax inside red platelets. To treat the septic dizziness, the patient received quick fluid resuscitation, norepinephrine (0.6 mg/h) also artesunate intravenously. The ERS RNA quality polymerase chain responses remained negative for Plasmodium falciparum nonetheless positive for P. vivax. The case converted to pyretic in less than 24H and parasitemia remained simultaneously negative.

Patient 2: One 27-year-old man, conceived from Pakistan also living in Pakistan, remained admitted in July 2018 due to fever, stomach torments, brain pain, myalgia also nausea. The patient's last trip to a jungle fever endemic zone took place in 2013. A thin film of blood indicated the presence of trophozoites of P. vivax inside the red platelets. The case was cured orally having dihydroartemisinic and piperazine and recovered rapidly. After eight months, case returned to clinic through reflux of P. vivax jungle fever. The bowel disease was uncomplicated and the patient recovered quickly. A quarter of a year later, the patient returned with a third scene of P. vivax intestinal disease. After a rapid hemodynamic deterioration, the patient was transferred to the emergency room of the medical clinic. In total, the patient received 10 liters of filling solution to treat the septic stunning. Afterwards 7 days of hospitalization also special cure, the case remained released under clinically acceptable situations.

Conclusion: Doctors would be informed of possible serious entanglements of P. vivax in imported jungle fever, despite the fact that the essential contamination remains straightforward.

Keywords: Plasmodium vivax, Introduced malaria, Simple malaria, Deteriorations.