A 38-year-old woman developed a medical condition 7 days after her return from Bangladesh. Periodical elevation of temperature was accompanied by chills and excessive sweating. She was diagnosed with tropical malaria. Next day her condition further deteriorated: body temperature – 38°C. inertness, periodical loss of consciousness, generalized seizures, tachycardia. hypotension, and icteric skin. What complication can be suspected in this case?

Question

Answer options

Cerebral coma
Serous meningitis
Acute hepatic failure
Purulent meningitis
Acute heart failure

Correct answer

Cerebral coma

Explanation

Malaria with CNS manifestation means cerebral malaria. Cerebral malaria is the most severe neurological complication of infection with Plasmodium falciparum malaria. It is a clinical syndrome characterized by coma and asexual forms of the parasite on peripheral blood smears.

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