DOI: http://dx.doi.org/10.18203/2349-3933.ijam20175192

Acute pancytopenia secondary to hemophagocytic syndrome due to plasmodium vivax malaria with chloroquine treatment failure: case report

Rajnish Kumar, Avantika Sharma

Abstract


Pancytopenia as a manifested complication of plasmodium vivax malaria is extremely rare and mainly reported with plasmodium falciparum. We report a 29-year old Indian pregnant female who lives in rural area of Haryana (northern India) and presented with a two-week long history of intermittent fever, chills and rigor. She was found to have spleenomegaly, pancytopenia, hyperferrtinemia with positive peripheral blood smear for plasmodium vivax. not responding to oral chloroquine. The patient had a full recovery from pancytopenia with artesunate therapy.


Keywords


Artesunate therapy, Chloroquine, Hemophagocytosis, Malaria, Pancytopenia, Plasmodium vivax resistance

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