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Retinal involvement in severe noncerebral malaria

  • Leonardo Lando
    Correspondence
    Correspondence to: Leonardo Lando, MD, Shiley Eye Institute, University of California San Diego, 9415 Campus Point Drive, La Jolla, CA 92093
    Affiliations
    From the Department of Ophthalmology, Federal University of Goias, Goiania, Brazil

    Shiley Eye Institute, University of California San Diego, La Jolla, CA
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  • Shyamanga Borooah
    Affiliations
    From the Department of Ophthalmology, Federal University of Goias, Goiania, Brazil
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  • Richard J. Maude
    Affiliations
    Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand

    Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, U.K.

    Harvard TH Chan School of Public Health, Harvard University, Boston, MA.
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Published:August 20, 2020DOI:https://doi.org/10.1016/j.jcjo.2020.06.017
      A 20-year-old male patient complained of reduced vision after being admitted to a hospital in Bangladesh with 5 days of fever associated with convulsions and anemia (hematocrit 11%). Uncorrected visual acuity was 20/80 OD and 20/64 OS. Bedside dilated ophthalmic examination, registered using a portable fundus imaging device (Kowa Genesis-D), revealed white-centred hemorrhages in 4 quadrants, diffuse disc pallor, and preretinal macular hemorrhages in both eyes. The patient was diagnosed with malarial retinopathy, an ocular manifestation of Plasmodium falciparum infection. He had no encephalopathy confirmed during hospitalization and was treated with intravenous artesunate followed by artemether-lumefantrine.
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