Case 1. Unusual presentation of Plasmodium vivax Malaria with aanemia, thrombocytopenia and cerebral malaria

Ahmed B.Idris, Asmahan Tagelsir Basheer, Jaafar Ibn Auf Suleiman, Salah A.Ibrahim


Malignant tertian” and “benign tertian” are terms that have long been used for two of the major diseases we recognize as malaria. The former is generally considered to be synonymous with Plasmodiumfalciparum and
the latter with P. vivax infection. As the terms “malignant” and “benign” suggest, the current dogma is that P. falciparum can be severe and life-threatening while P.vivax tends to be mild(1). However, recent studies have
concluded that P. vivax can cause both sequestration-related and non-sequestration related complications of severe malaria, including cerebral malaria, renal failure, circulatory collapse and severe anemia(2).
This is a report of two children, one of whom presented with cerebral malaria and other one with severe malaria. The presence of P.vivax only was demonstrated in their peripheral blood smear. Both responded well
to antimalarial drugs.

*Corresponding authors: Ahmed B.Idris, Dr. Jaafar Ibn Auf Paediatric Specialized Hospital, Khartoum, Sudan. E.mail:

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ISSN: 1858-5345