Hemorrhagic stroke as a complication of Cerebral Malaria in a 26-year male: A Rare Case Report

Abstract

Abstract INTRODUCTION Malaria continues to cause unacceptably high levels of disease and death despite increased global efforts and is still significant public health problem. African countries are disproportionately affected by malaria. The objective of this study was to describe a rare case of haemorrhagic stroke as a complication of malaria in a − 26-year-old male patient. CASE PRESENTATION A 26-year-old male from southwest Ethiopia presented with complaint of loss of consciousness (LOC) of 12 hours duration. He had fever, headache, vomiting, chills, rigors and shivering three days prior to the loss of consciousness. On physical examination, pulse rate 116 beats/min, blood pressure of 120/90mmHg, respiratory rate was 24 breaths/min, a temperature of 38.9 ◦C and oxygen saturation of 94%. Nervous system examination; stuporous with Glasgow Comma Scale (GCS) 10/15(M5, E3, V2). Blood film and RDT showed Mixed infection (P.F and P.V) and Non contrast CT finding of right cerebral parenchymal haemorrhage. DISCUSSION and CONCLUSION: The presented case demonstrated very rare case of a 26-year-old male patient who was diagnosed with left side hemiparesis secondary to haemorrhagic stroke caused by Cerebral Malaria should be considered as a very rare cause of stroke in a patient who presented with body weakness in malaria endemic areas and in individuals who had travel history to malaria endemic areas