急性肝不全および急性腎障害を合併した重症熱帯熱マラリアに対してcontinuous plasma filtration with dialysisを施行した1例(A case of severe Plasmodium falciparum malaria complicated by acute hepatic failure and acute kidney injury treated with continuous plasma filtration with dialysis)

Key Points

• To report on the use of continuous plasma filtration with dialysis in a case of severe malaria with organ failure.
• Case report of a 46-year-old female with severe tropical malaria and organ failures.
• Treatment included antimalarial therapy, respiratory management, and blood transfusion.
• Continuous plasma filtration with dialysis was performed for 48 hours after liver dysfunction worsened.
• Acute kidney injury and hepatic failure improved after implementing continuous plasma filtration.
• Only 28 units of fresh frozen plasma were used, efficiently supplementing coagulation factors.
• The parasite burden decreased from 17.6% to below 0.1%.