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Case Reports
. 2011 Jul-Aug;18(4):288-91.
doi: 10.1111/j.1708-8305.2011.00526.x. Epub 2011 Jun 15.

Nephrotic syndrome and unrecognized Plasmodium malariae infection in a US Navy sailor 14 years after departing Nigeria

Richard Hedelius  1 , James J Fletcher, William F Glass 2nd, Augustina I Susanti, Jason D Maguire
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Free article
Case Reports

Nephrotic syndrome and unrecognized Plasmodium malariae infection in a US Navy sailor 14 years after departing Nigeria

Richard Hedelius et al. J Travel Med. 2011 Jul-Aug.
Free article

Abstract

A 34-year-old Nigerian man presented with nephrotic syndrome. Renal biopsy revealed chronic membranous glomerulopathy with focal segmental sclerosis. Blood Giemsa smear contained rare Plasmodium sp. trophozoites and small subunit ribosomal RNA polymerase chain reaction amplification confirmed the presence of Plasmodium malariae. This case highlights the importance of obtaining even remote travel histories from ill immigrants and considering occult quartan malaria in patients from endemic locations with nephrotic syndrome.

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