Blackwater Fever

Blackwater Fever is a rare but serious complication of fulminant malaria associated with extensive intravascular destruction of red blood cells, leading to the appearance of hemoglobin in the urine. It is assumed that this complication arises as a result of improper treatment with quinine: the patient develops fever, yawning, vomiting, the liver and spleen are enlarged, the excreted urine contains an admixture of blood, anemia, exhaustion increases, and in the most severe cases, which usually ends in the death of the patient, sharply urine output decreases due to blockage of the renal tubules. Treatment requires providing the patient with complete rest, prescribing alkaline drinks, intravenous glucose, and blood transfusions.



Blackwater Fever: a rare but serious complication of fulminant malaria

Blackwater Fever is a rare but serious complication of fulminant malaria that is associated with extensive intravascular destruction of red blood cells and leads to the appearance of hemoglobin in the urine. This complication usually occurs due to improper treatment with quinine.

Although fulminant malaria is the most common form of malaria, Black Water fever is much less common. Despite this, it can have serious health consequences and, in the most severe cases, result in the death of the patient.

Symptoms of Black Water Fever may include fever, yawning, vomiting, and an enlarged liver and spleen. One of the most characteristic manifestations of this disease is the appearance of hemoglobin in the urine, which leads to its black color. Increasing anemia and emaciation may also be noticeable. In the most severe cases, the patient may experience acute renal failure due to blockage of the renal tubules, which leads to a sharp decrease in urine output.

Treatment of Black Water Fever requires providing the patient with complete rest, alkaline drinking, intravenous glucose, and blood transfusions. Due to the severity of the disease, treatment must be immediate and effective.

Prevention of Black Water Fever is to avoid inappropriate treatment of fulminant malaria with quinine. It is important that people with malaria receive proper treatment under the guidance of qualified medical personnel. It is also very important to take preventative measures such as using mosquito repellents, nets and other mosquito repellents to avoid contracting malaria.

In conclusion, Black Water Fever is a serious complication of fulminant malaria that can lead to serious health consequences, including death. However, with proper treatment and preventative measures, you can avoid the development of this disease and maintain your health.



Blackwater fever is a rare but serious complication of malaria infection that occurs when malaria is not treated effectively. This complication is caused by damage to red blood cells (erythrocytes) and the release of hemoglobin (blood iron) into the urine. Without proper medical intervention, this can lead to serious consequences such as anemia (low number of red blood cells), a weakened immune system, and even death.

With black fever, patients may experience high fever, vomiting and diarrhea; Bruises may appear on the affected areas of the body. In case of complications such as black fever, health workers