Falciparum malaria-induced hypoglycaemia in a diabetic patient

Oded Shalev, Anat Tsur, Galia Rahav

Research output: Contribution to journalArticlepeer-review

Abstract

We report a patient with diabetes mellitus who suffered severe falciparum malaria complicated by profound and persistent hypoglycaemia. The hypoglycaemia evolved before therapy with quinine was begun and resolved with eradication of the parasitaemia. The patient reverted to her baseline hyperglycaemia despite continuation of quinine. This case illustrates the critical role of falciparum malaria in the pathogenesis of malaria-associated hypoglycaemia, rather than quinine-mediated mechanisms. Anticipation of hypoglycaemia in falciparum malaria and its vigorous treatment may improve the poor prognosis associated with this complication.

Original languageEnglish
Pages (from-to)281-282
Number of pages2
JournalPostgraduate Medical Journal
Volume68
Issue number798
DOIs
StatePublished - 1992
Externally publishedYes

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