Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Case Report Volume 4 Issue 10

Hypokalemic Quadriparesis in a case of Plasmodium vivax and Scrub Typhus Co-Infection - A Case Report From Eastern India

Somnath Maji1, Boudhayan Bhattacharjee2*, Avisek Gon1, Olivia Bhattacharya1, Koushik Mukherjee1, Arunansu Talukdar3 and Udas Chndra Ghosh3

1Junior Resident, Department of General Medicine, Medical College, Kolkata, India
2RMO Cum Clinical Tutor, Department of General Medicine, Medical College, Kolkata, India
3Professor, Department of General Medicine, Medical College, Kolkata, India

*Corresponding Author: Boudhayan Bhattacharjee, RMO Cum Clinical Tutor, Department of General Medicine, Medical College, Kolkata, India

Received: August 23, 2021; Published: September 23, 2021


  Both Plasmodium vivax malaria and Scrub Typhus has numerous reported neurological complications. In our case a middle-aged man presented with quadriparesis with history of high-grade fever with chills and rigor. On investigation, serum potassium found to be low and Plasmodium vivax schizont was found in blood smear. Patient started intravenous Potassium supplementation along with Anti-malarial therapy. Weakness improved within 48 hours of potassium supplementation, but fever persists after three days of antimalarials. On through examination we found an eschar in the back region and subsequently Scrub Typhus serology (IgM) came Positive, fever subsided after starting Doxycycline. Hypokalemia often seen in children with Plasmodium falciparum malaria infection. But co-infection of Plasmodium vivax malaria with Scrub typhus can also cause severe form of hypokalemia which may lead to even hypokalemic quadriparesis. This is very much atypical presentation in a rickettsia and parasitic co-infection which has not been previously reported.

Keywords: Plasmodium vivax; Scrub Typhus; Co-Infection; Hypokalemic Quadriparesis


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Citation: Boudhayan Bhattacharjee., et al. “Hypokalemic Quadriparesis in a case of Plasmodium vivax and Scrub Typhus Co-Infection - A Case Report From Eastern India". Acta Scientific Neurology 4.10 (2021): 45-48.


Copyright: © 2021 Boudhayan Bhattacharjee., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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