Document Detail


Malaria and the conducting system of the heart.
MedLine Citation:
PMID:  23365175     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We report the case of an adult male patient who was admitted to our hospital with a diagnosis of vivax malaria complicated with renal insufficiency and acute respiratory distress syndrome (ARDS). The patient was treated with intravenous artesunate. He was intubated and mechanically ventilated and taken up for haemodialysis in view of worsening renal parameters. He developed tachycardia a few hours later. ECG showed sinus tachycardia. Tachycardia persisted though the blood pressure was normal, there was no evidence of bleeding, and the heart was clinically normal. We tried to control the heart rate with diltiazem, adenosine and metoprolol but the tachycardia persisted. The heart rate was finally controlled with amiodarone. The patient improved, was weaned off from the ventilator and extubated. His renal functions gradually improved. Oral amiodarone was continued and there was no recurrence of tachycardia. We present this case to highlight the interesting association of vivax malaria with persistent, difficult to treat tachycardia.
Authors:
Smitha Bhat; Madhu Kumar; Jayaprakash Alva
Related Documents :
19707715 - Endoscopic diagnosis and treatment of far distal obstructive hydrocephalus.
3501255 - Nitrous oxide and cerebrospinal fluid markers of ischaemia following cardiopulmonary by...
9720975 - Cerebrospinal fluid levels of transition metals in patients with alzheimer's disease.
8665535 - Cerebrospinal fluid homovanillic acid is reduced in untreated huntington's disease.
18540295 - Duration of renal failure as risk factor for conjunctival squamous metaplasia.
15539845 - The smooth muscle ratio at the renal pelvis in adults: does it predict surgical outcome?
Publication Detail:
Type:  Journal Article     Date:  2013-01-29
Journal Detail:
Title:  BMJ case reports     Volume:  2013     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2013  
Date Detail:
Created Date:  2013-01-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Affiliation:
Department of Medicine, Father Muller Medical College, Mangalore, Karnataka, India.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Black oesophagus.
Next Document:  Congenital familial myasthenic syndromes: disease and course in an affected dizygotic twin pair.