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Correspondence
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Volume 329:1206-1207 October 14, 1993 Number 16
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Rhabdomyolysis in Malaria

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To the Editor: Blackwater fever and acute tubular necrosis in malaria caused by Plasmodium falciparum are assumed to be results of hemoglobinuria. The following case suggests that myoglobinuria may also be responsible.

A 32-year-old man with a history of malaria had fever, chills, myalgias, nausea, and vomiting two weeks after visiting his native Nigeria. After the patient had an episode of syncope, a physician made the diagnosis of malaria, prescribing chloroquine and then quinine if there was no improvement. On admission, the patient had normal vital signs and was alert and in no distress. There was a history of severe . . . [Full Text of this Article]

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