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Plasmodium ovale infection in Sri Lanka: distant exposure and incidental detection of hyperparasitemia: a case report by Damsara Kularatne; Pubudu Chulasiri; Arinda Dharmapala; Senanayake Kularatne is a Medicine article available to read on EtoBox.

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## Abstract ## Background __Plasmodium ovale__ malaria, which was previously endemic to tropical Africa and the Southwest Pacific islands is now being reported from parts of Asia. In Sri Lanka, the indigenous transmission of malaria has not been documented since October 2012. Since then, there have been several imported cases of malaria, including __P.____ovale__, which have been detected sporadically. The reporting case of __P__. __ovale__ was imported and detected incidentally in 2021, with several atypical presentations. ## Case presentation A 40-year-old Sri Lankan medical doctor developed continuous fever with chills, rigors, and dysuria a day following removal of a large lipoma at the root of the neck under general anaesthesia. When the fever has been responding to antibiotics, on the 4th postoperative day a mild thrombocytopenia on complete blood count was detected. A blood smear which was done on the 5th postoperative day incidentally found a malaria parasite and confirmed as __Plasmodium ovale__ with a density of 6535 parasites/microliter on the same day__.__ He never had malaria in the past, but he had worked in South Sudan 1 year ago and visited India six months ago. On

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Author

Damsara Kularatne; Pubudu Chulasiri; Arinda Dharmapala; Senanayake Kularatne

Publisher

Springer Science and Business Media LLC

Published

2023

Field

Medicine (Health Sciences)