Журнал клинических случаев

Acute Pancreatitis-Rare Complication of Falciparum Malaria

Abstract

Satya Kant Tiwari* and Richa Patel

A 26-yr old army man of commandant rank posted in forest belt of district Mirzapur Uttarpradesh, presented to the medicine emergency department with a 4-day history of high grade fever which was associated with chills and rigor, vomiting and generalized abdominal pain. Peripheral blood smear stained with leishman demonstrated ring-form trophozoites of P. falciparum with high parasitaemia (62%) with rapid antigen test for P. falciparum was also positive. Chest X-ray was normal. Non contrast computed tomography (CT) scan of the abdomen showing a bulky pancreas with peripancreatic fat stranding suggestive of acute pancreatitis. A diagnosis of severe falciparum malaria with acute pancreatitis was made on basis of investigation. Treatment in form of intravenous quinine 1000 mg as loading dose in 10% dextrose solution followed by 500 mg in same solution and was monitored for hypoglycaemia. Oral quinine tab was started 8th day up to 15th day. The patient was discharged on 18th day and his condition was good on further follow up.