• Am. J. Trop. Med. Hyg. · Feb 2010

    Case Reports

    Retinal hemorrhage in Plasmodium vivax malaria.

    • Ji Hwan Lee, Hee Seung Chin, Moon-Hyun Chung, and Yeon Sook Moon.
    • Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. leejihwan@yuhs.ac
    • Am. J. Trop. Med. Hyg. 2010 Feb 1;82(2):219-22.

    AbstractRetinal hemorrhage is a frequently observed sign in Plasmodium falciparum infection. In Plasmodium vivax infection, however, retinal hemorrhage is very rare; only five cases have been reported in the literature. In this case report, we review the literature and the case of 52-year-old man who had retinal hemorrhages in P. vivax infection. We analyzed the structural characteristics of the lesions using fluorescein angiography and spectral-domain optical coherence tomography. Physicians should be aware of the possibility of retinal hemorrhage in malaria patients, even those with P. vivax infection, and should consider a diagnosis of malaria in a patient with unexplained retinal hemorrhage and fever.

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