Afebrile malaria patient with multisystem involvement and Hepatitis B infection: A case report

摘要

Malaria is caused by obligate intraerythrocytic protozoa of the genus Plasmodium. Humans can be infected with one (or more) of the following five species: P. falciparum, P. vivax, P. ovale, and P. malariae and P. knowlesi. Malaria typically produces a string of recurrent attacks, or paroxysms, each of which has three stages; chills, followed by fever, and then sweating. Although malaria without fever is rare,we present a complicated case of P. ovale malaria without fever associated with Hepatitis B virus infection, pre-excitation pattern ECG and secondary adrenal insufficiency in a young African American adult male who had travelled to Africa 9 months prior to clinical presentation. Our patient did not have any features to characterize severe malaria and the parasitemia was <5%.