A case of severe malaria in Magadan

A case of tropical malaria complicated by acute hepatic and renal insufficiency, severe grade two-stage cytopenia (anemia, thrombocytopenia) is presented. The anuria lasted for two weeks, which required extracorporeal therapy, 6 sessions of hemofiltration and hemodialysis with a PRISMAFLEX device, plasma extraction of 3000 ml and replacement with freshly frozen plasma of 2800 ml and 20 % 200 ml of albumin, 4 transfusions of 500 ml of single-group erythrocyte mass. Etiotropic therapy included the administration of hydroxychloroquine and mefloquine. Isotonic solutions of glucose and saline in a volume of 600-700 ml, the antibiotic ceftriaxone 2.0 g/day, and small doses of furosemide were administered. The disease ended in recovery.

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