Skip to main content

Table 1 Published case reports of severe thrombocytopaenia associated with severe Plasmodium vivax malaria

From: Imported Plasmodium vivax malaria with severe thrombocytopaenia: can it be severe malaria or not?

Year of publication/reference

Location of malaria acquisition

Age/sex

Platelet count/μL (nadir)

Other complications

Diagnostic method/parasite density

P. falciparum excluded

Treatment/platelets transfusion (N unit)

Outcome

1997/[15]

Thailand

27/F

22.000

No

Microscopy/serology/0.6 %

Yes

Sulfadoxine-pyrimethamine + primaquine/no

Recovery

1998/[24]

India

20/M

14.000

Severe anemia (Hb 3 g/dL)

Microscopy/NR

No

Chloroquine + primaquine/no

Recovery

1999/[11]

India

43/F

5.000

No

Microscopy/RDT/NR

Yes

Chloroquine + primaquine/no

Recovery

1999/[11]

Colombia

32/M

17.000

Shock; ARDS

Microscopy/PCR/5 %

Yes

Quinidine + primaquine/no

Recovery

2002/[12]

India

43/M

8.000

No

Microscopy/RDT/NR

Yes

Quinine sulphate/yes (6 units)

Recovery

2003/[26]

India

29/M

35.000

Jaundice

Microscopy/PCR/<1 %

Yes

Chloroquine + primaquine/no

Recovery

2003/[27]

Mexico

30/M

6.000

Epistaxis

Microscopy/NR

No

Quinine + doxycycline switched to chloroquine + primaquine/yes (20 units)

Recovery

2004/[28]

Brazil

20/M

2.000

Petechiae, hemorrhagic bullae

Microscopy/PCR/NR

Yes

Chloroquine/yes (1 unit)/prednisone

Recovery ITPa

2005/[29]

Brazil

43/F

17.000

ARDS; shock

Microscopy/RDT/NR

Yes

Chloroquine + artemether + primaquine/No

Recovery

2005/[30]

India

7/M

6.000

Petechial rash, gum bleeding

Microscopy/bone marrow/NR

No

Chloroquine (1 dose) followed by quinine dihydrochloride + primaquine/yes (2 units)/steroids

Recovery

2006/[31]

Venezuela

50/F

25.000

ARDS

Microscopy/PCR/1200/μL

Yes

Mefloquine + primaquine/no

Recovery

2006/[32]

Turkey

22 days/F

17.000

Jaundice

Microscopy/NR

No

Chloroquine + primaquine/yes (NR)

Recovery

2007/[33]

Guyana

59/M

10.000

ARDS; shock; renal failure

Microscopy/PCR/5 %

Yes

Quinine sulphate + doxycycline switched to intravenous quinidine/yes (1 unit)

Recovery

2007/[34]

Pakistan

59/M

39.000

ARDS; renal failure

Microscopy/RDT/PCR/3 %

Yes

Chloroquine + primaquine/no

Recovery

2007/[35]

India

8/M

30.000

Renal failure; petechial rash

Microscopy/RDT/24.000/μL

Yes

Quinine dihydrochloride/no

Recovery

2007/[36]

Republic of Korea

21/M

25.000

Shock

Microscopy/RDT/PCR/2352/μL

Yes

Chloroquine + primaquine/no

Recovery

2007/[36]

Republic of Korea

33/M

40.000

Shock

Microscopy/RDT/12.376/μL

Yes

Chloroquine + primaquine/no

Recovery

2008/[37]

Brazil

14/M

6.000

No

Microscopy/bone marrow/PCR/NR

Yes

Chloroquine + primaquine/no

Recovery

2009/[38]

India

4/F

11.000

Shock; bleeding; increased liver enzymes (AST 1080 U/L)

Microscopy/bone marrow/PCR/RDT/

Yes

Artesunate + mefloquine + primaquine + immunoglobulin/yes

Recovery

2009/[39]

Republic of Korea

27/F

21.000

Myocarditis

Microscopy/PCR/6990/μL

Yes

Chloroquine/no

Recovery

2009/[40]

India

1/M

20.000

Severe anemia; intracranial bleeding; seizures

Microscopy/RDT/NR

No

Cloroquine + quinine dihydrochloride +primaquine/yes

Recovery with hydrocephalus

2010/[41]

Republic of Korea

52/M

40.000

Retinal hemorrhage; jaundice; spleen infarction

Microscopy/9188/μL

No

Chloroquine + primaquine/no

Recovery

2010/[42]

Brazil

16/M

12.000

Rhabdomyolysis, renal failure

Microscopy/PCR/1520/μL

Yes

Chloroquine + artesunate + clindamycin/no

Recovery

2010/[43]

India

8/F

21.000

Petechial rash; severe anemia (Hb 4.7 g/dL); hematemesis

Microscopy/bone marrow/RDT/1.5 %

Yes

Chloroquine + primaquine/no

Recovery

2010/[43]

India

4/F

35.000

Epistaxis; melena

Microscopy/RDT/NR

Yes

Chloroquine + primaquine/yes (NR)

Recovery

2011/[44]

India

50/M

19.000

ARDS, hypotension

Microscopy/NR

No

Artesunate + primaquine/no

Recovery

2012/[45]

India

17/M

34.000

Acute pancreatitis; shock

Microscopy/RDT/NR

Yes

NR/No

Died

2013/[46]

Malaysia

38/M

41.000

ARDS

Microscopy/PCR/16/μL

Yes

Artesunate + primaquine/no

Recovery

2013/[47]

India

19/F

45.000

Acute myocarditis

Microscopy/RDT/NR

Yes

Artesunate + doxycycline/no

Recovery

2013/[48]

India

11/M

27.000

Petechial rash; jaundice; acute renal failure; GI bleeding, shock

Microscopy/RDT/NR

No

Artesunate/yes (NR)

Recovery

2013/[49]

Republic of Korea

59/M

37.000

ARDS; acute renal failure; jaundice; lactic acidosis

Microscopy/RDT/16,380/μL

Yes

Artesunate + chloroquine + primaquine/no

Recovery

2014/[50]

Greece

42/F

24.000

ARDS; jaundice

Microscopy/PCR//0.007 %

Yes

Mefloquine + quinine + doxycycline + primaquine/no

Recovery

2014/[51]

India

8/F

11.000

GCS 7; haemophagocytic syndrome; acute renal failure; hypotension

Microscopy/bone marrow/RDT/NR

Yes

Artesunate + sulphadoxine-pyrimethamine + primaquine/no

Recovery

  1. F female, M male, Hb haemoglobin, NR not reported, RDT rapid diagnostic tests, ARDS acute respiratory distress syndrome, PCR polymerase chain reaction, a ITP idiopathic thrombocytopaenic purpura, AST alanine aminotransferase, GCS Glasgow Coma Score, GI gastrointestinal