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Case Reports
. 1992 Apr;68(798):281-2.
doi: 10.1136/pgmj.68.798.281.

Falciparum malaria-induced hypoglycaemia in a diabetic patient

O Shalev  1 , A Tsur, G Rahav
Affiliations
Case Reports

Falciparum malaria-induced hypoglycaemia in a diabetic patient

O Shalev et al. Postgrad Med J. 1992 Apr.

Abstract

We report a patient with diabetes mellitus who suffered severe falciparum malaria complicated by profound and persistent hypoglycaemia. The hypoglycaemia evolved before therapy with quinine was begun and resolved with eradication of the parasitaemia. The patient reverted to her baseline hyperglycaemia despite continuation of quinine. This case illustrates the critical role of falciparum malaria in the pathogenesis of malaria-associated hypoglycaemia, rather than quinine-mediated mechanisms. Anticipation of hypoglycaemia in falciparum malaria and its vigorous treatment may improve the poor prognosis associated with this complication.

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Comment in

  • Falciparum malaria and hypoglycaemia.
    Odeh M. Odeh M. Postgrad Med J. 1993 Apr;69(810):325. doi: 10.1136/pgmj.69.810.325. Postgrad Med J. 1993. PMID: 8321805 Free PMC article. No abstract available.

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