Table 4.
Patient | Gender | Travel type | Country of infection | Anti-malarial treatment | Baseline parasitaemia | Other complications | Pre-existing medical conditions | Coombs test | Transfusions for post-treatment haemolysis |
---|---|---|---|---|---|---|---|---|---|
1 |
f |
Tourism |
Burkina Faso |
Quinine (iv) + Clindamycin (po) + Artesunate (ir) |
30% |
Acute renal failure (Peak creatinine: 8.5 mg/dl), QTc prolongation (550 ms) |
Hypertension |
DCT negative |
Day 15 and Day 21 (2 units of packed red blood cells each) |
2 |
m |
VFR |
Burkina Faso |
Quinine (iv) + Doxycycline (po) + Artesunate (ir) |
25% |
Acute renal failure (Peak creatinine: 2.2 mg/dl) |
Newly diagnosed HIV-1 infection |
DCT positive, warm auto-antibodies (IgG) |
Day 14 (2 units of packed red blood cells) |
3* |
f |
Tourism |
Uganda |
Artesunate (iv) + Mefloquine (po) |
14% |
- |
- |
DCT not done |
None |
4* |
m |
Tourism |
Gambia |
Artesunate (iv) + Atovaquone/ Proguanil (po) |
21% |
Acute renal failure (peak creatinine: 6.5 mg/dl) |
Hypertension |
DCT positive, Low titre of anti-E IgG antibodies |
Day 14 and Day 21, 2 units of packed red blood cells |
5* | m | Tourism | Gambia/ Senegal | Artesunate (iv) + Atovaquone/ Proguanil (po) | 20% | Acute renal failure (peak creatinine: 7.0 mg/dl) | - | DCT negative | None |
*patients have been previously described in detail [15].
Abbreviation: iv intravenous, po orally, ir intrarectal.