Cerebral Malaria Associated with Acute Renal Failure in a Sudanese Patient: Case Report

Abstract

Malaria is a common health problem especially in the tropics. Cerebral malaria is a worse complication of the disease with unknown pathophysiology. In this scenario, a Sudanese housewife was brought to the emergency room after a sudden fall in the ground, she was in coma. Investigations revealed sever falciparum malaria, thrombocytopenia and features of acute renal injury. Quinine was prescribed in addition to antithrombotic, diuretics and supportive medications. In the following day she developed aspiration pneumonia and a fourth generation antibiotic was prescribed. One day later she looked very ill, jaundiced with features of Disseminated Intravascular Coagulation (DIC). Her general condition was not improving, and then she was arrested and died. Multiple organs failure associated with sever malaria was considered as the cause of death.