Severe Orthostatic Hypotension in Otherwise Uncomplicated Plasmodium Vivax Infection
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Abstract Impaired autonomic control of postural homeostasis resulting in orthostatic hypotension has been described in falciparum malaria. However, severe orthostatic intolerance in Plasmodium vivax has not been previously reported. We describe a non-immune previously healthy Thai woman presenting with Plasmodium vivax infection with well-documented orthostatic hypotension. In addition to oral chloroquine and intravenous artesunate, the patient was treated with fluid resuscitation and norepinephrine. During hospitalization, her hemodynamic profile revealed orthostatic hypotension persisting for another three days after microscopic and polymerase chain reaction confirmed parasite clearance. Potential causes are discussed.
1999 ◽
Vol 60
(2)
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pp. 183-187
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2007 ◽
Vol 77
(3)
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pp. 444-446
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2013 ◽
Vol 2013
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pp. 1-4
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2000 ◽
Vol 62
(6)
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pp. 693-697
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