Acute acquired hemolytic anemia due to delayed primary attack of vivax malaria.

In many parts of the world malaria is still a common infection. Recognition of this fact is important to clinicians in the United States. Veterans of foreign service are still presenting the unusual manifestations of the delayed primary attack of vivax malaria, one of which is acute hemolytic anemia.1, 2

Primaquine has become an effective drug against the exo-erythrocytic stage ofPlasmodium vivax.3, 4Primaquine and chloroquine are routinely administered to the troops returning from the endemic areas.4, 5A few cases of malaria still develop the delayed primary attacks and relapses.

Full text article: https://www.acpjournals.org/doi/10.7326/0003-4819-45-1-139