Plasmodium vivax malaria presenting as hemolytic--uremic syndrome.

01 Mar 1993
Sharma J, Bharadawa K, Shah K, Dave S

A 20-year-old female presented with fever, chills, rigors followed by oliguria for 4 days. She had no history of any major diseases. Clinical examination revealed dicterus, pallor with peripheral edema. Systemic examination was unremarkable. Her investigations revealed hemoglobin of 8.2 g/dL, platelet count of 53 × 1000/cm, serum bilirubin of 6.7 mg/dL (direct 2.9; indirect 3.8), and a peripheral smear showed schizonts of Plasmodium vivax along with schistocytes. 

Full text article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3621247/