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. 2022 May 25;37(1):392.
doi: 10.4102/sajid.v37i1.392. eCollection 2022.

The sting in the tail of severe falciparum malaria: Post-artesunate delayed haemolysis

Yael Benjamin  1 , David Stead  1   2
Affiliations

The sting in the tail of severe falciparum malaria: Post-artesunate delayed haemolysis

Yael Benjamin et al. S Afr J Infect Dis. .

Abstract

Post-artesunate delayed haemolysis (PADH) is thought to occur because of delayed clearance of previously malarial infected erythrocytes spared by 'pitting' during treatment. We report a case of PADH following the treatment of Plasmodium (P.) falciparum malaria (32% parasitaemia), with a positive direct antiglobulin (DAT) test, suggesting an immune mechanism.

Keywords: autoimmune haemolytic anaemia; falciparum malaria; haemolytic anaemia; malaria; protozoan infections; tropical diseases; zoonoses.

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Conflict of interest statement

The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this case report.

Figures

FIGURE 1
FIGURE 1
A timeline depicting trends in haemoglobin, lactate dehydrogenase in relation to artemisinin and steroid therapies.
See this image and copyright information in PMC

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