Unusual Presentation of Vivax Malaria with Anaemia, Thrombocytopenia, Jaundice, Renal Disturbance, and Melena: A Report from Malang, a Nonendemic Area in Indonesia

Table 1

Description data of two cases.

	Case 1	Case 2
Age	28 yrs	29 yrs
Sex	F	F
Fever	>3 days	9 days
Cerebral symptoms/GCS	Absent	Absent
Haemoglobin (mg/dL)	8*	6.9*
Leucocytes (cell/mm^3)	4890	5870
Platelets (cell/mm^3)	42000*	54000*
Blood glucose (mg/dL)	89	68
Urea (mmol/L)	18.8	77.7**
Serum creatinine (mg/dL)	0.56	1.46**
AST (IU/L)	24	354**
ALT (IU/L)	24	88**
Albumin (g/L)	—	1.88
Direct bilirubine (mg/dL)	1.3**	3.27**
Indirect bilirubine (mg/dL)	1.25**	1.34**
Total bilirubine (mg/dL)	2.59**	4.61**
Serum electrolyte analysis	Na: 136, K: 2.94* and Cl: 108	Na: 135, K: 3.88 and Cl: 113
Peripheral smear	P. vivax	P. vivax
Nested PCR	P. vivax	P. vivax
Drug given	Oral quinine and primaquine	Oral arterakine (dihydroartemisinin + piperaquine)
Hospitalisation	Discharged before fully recovered	12 days

Description: *low, **high.