Plasmodium falciparum malaria, bilateral sixth cranial nerve palsy and delayed cerebellar ataxia

Duque, V; Seixas, D; Ventura, C; Saraiva da Cunha, JG; Meliço-Silvestre, A

http://hdl.handle.net/10400.4/1348

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Abstract(s)

We describe the case of a 14-year-old Caucasian male, a resident in the Democratic Republic of the Congo, who was observed in Portugal with severe Plasmodium falciparum malaria with high-level parasitemia and severe thrombocytopenia. The course was complicated by bilateral sixth cranial nerve palsy during acute malaria, followed by the appearance of delayed cerebellar ataxia during the recovery phase. This occurred after successful treatment with quinine plus doxycycline over seven days. Different levels of thrombocytopenia and C-reactive protein were observed during both neurologic events in the presence of HRP-2 positive tests for Plasmodium falciparum antigen. The patient recovered completely after three months.

Keywords

Ataxia Cerebelar Malaria Cerebral

URI

http://hdl.handle.net/10400.4/1348

Citation

J Infect Dev Ctries. 2012;6(3):290-4.

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