Malaria with Immune-Mediated Hemolytic Anemia: A Case Report

J. Deng
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Abstract

This case report describes the clinical presentation, diagnosis, and management of a 34-year-old male patient with malaria caused by Plasmodium falciparum, complicated by immune hemolytic anemia. The patient initially presented with a one-day history of fever and feeling unwell, but the diagnosis of malaria was initially missed. Four days later, during the second follow-up visit, the patient was administered Artemisinin and Piperaquine tablets. Despite this treatment, persistent symptoms and hemolytic anemia necessitated multiple treatment modifications. Subsequent evaluation confirmed the presence of immune hemolytic anemia associated with malaria. The patient was then treated with intravenous methylprednisolone and received a blood transfusion. This case underscores the challenges in diagnosing and managing severe malaria and its immune-related complications.
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疟疾伴免疫介导溶血性贫血1例报告
本病例报告描述了一名34岁男性患者的临床表现、诊断和治疗,该患者由恶性疟原虫引起,并发免疫性溶血性贫血。该患者最初有一天的发烧史和身体不适,但最初未被诊断为疟疾。四天后,在第二次随访中,患者服用了青蒿素和哌拉喹片。尽管进行了这种治疗,但持续的症状和溶血性贫血需要进行多种治疗。随后的评估证实存在与疟疾相关的免疫性溶血性贫血。患者随后接受静脉注射甲基强的松龙治疗并接受输血。该病例突显了诊断和管理严重疟疾及其免疫相关并发症的挑战。
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