Unusual Presentation of Vivax Malaria with Anaemia, Thrombocytopenia, Jaundice, Renal Disturbance, and Melena: A Report from Malang, a Nonendemic Area in Indonesia

摘要

Most of the complications of malaria such as anaemia, thrombocytopenia, jaundice, and renal failure are commonly found inPlasmodium falciparummalaria, but the incidence of severe and complicated vivax malaria tends to be increasing. We report two cases of severePlasmodium vivaxmalaria from Malang, a nonendemic area in Indonesia. Patients exhibited anaemia, thrombocytopenia, jaundice, renal disturbance, and melena. Microscopic peripheral blood examination and amplification of parasite 18s rRNA by polymerase chain reaction showed the presence ofP. vivaxand absence ofP. falciparum. All patients responded well to antimalarial drugs.