PV causes Benign Tertian Malaria
with fever paroxysms every third day and has a benign course.9 However, isolated cases of Vivax Malaria with delirium, seizures, renal failure, shock, hepatic dysfunction, severe anaemia, pulmonary oedema and acute respiratory distress syndrome (ARDS) have been reported.10-15
Involvement of central nervous system in benign tertian malaria
is known to occur since year 1921 (19).
Patients and Method: All male patients (soldiers) admitted in medical ward with benign tertian malaria during study period were included in this study.
Table-1: Percentage of thrombocytopenia in benign tertian malaria before and after treatment.
Parasites responsible for recurrence of benign tertian malaria
are frequently genotypically different (determined by molecular techniques) from those that gave rise to the initial symptomatic bout of disease.
Thrombocytopenia and Benign Tertian Malaria
. Infect Dis J 2010; 19:192-5.
It is also called as benign tertian malaria, but now it seems to be no longer benign (1).
Acute non-cardiogenic lung injury in benign tertian malaria. Lancet 1997; 350: 31-2.
So the term benign tertian malaria
for vivax malaria appears inappropriate.
Benign tertian malaria is an acute febrile illness caused by P.
This paper highlights that thrombocytopenia, hepatic dysfunction, renal involvement and ARDS do complicate benign tertian malaria. Close monitoring of such patients for respiratory complications should be done since ARDS appears to be associated with a fatal outcome and aggressive exchange transfusions to decrease the parasitic load and WBC agglutinates may be beneficial and life-saving.