A 50-year-old diabetic man develops severe P. falciparum malaria in Mozambique. He is treated with IV artesunate. On day 3, he develops acute kidney i...

Question

A 50-year-old diabetic man develops severe P. falciparum malaria in Mozambique. He is treated with IV artesunate. On day 3, he develops acute kidney injury with anuria, serum creatinine 620 µmol/L, and potassium 6.8 mmol/L. What is the most appropriate renal replacement modality?

Accepted Answer

Haemodialysis or haemofiltration

Answer

Conservative management with fluid restriction only

Answer

Peritoneal dialysis is always preferred in tropical settings

Answer

Forced alkaline diuresis

Answer

No renal support is needed as AKI in malaria always resolves spontaneously

uk-dtmh MCQ (SBA): Severe Malaria AKI Management

A 50-year-old diabetic man develops severe P. falciparum malaria in Mozambique. He is treated with IV artesunate. On day 3, he develops acute kidney injury with anuria, serum creatinine 620 µmol/L, and potassium 6.8 mmol/L. What is the most appropriate renal replacement modality?