The blood purification therapy-based strategy effectively rescued the severe falciparum malaria patient experiencing cytokine storm-driven MODS.

Background: The mortality of severe falciparum malaria is high, in which cytokine storm (CS) plays an important role, and the standard effective therapy strategy remains unclear. Methods: A 63-year-old severe falciparum malaria patient with CS was treated with therapeutic plasma exchange (TPE) combined with continuous venovenous hemodiafiltration (CVVHDF) at the onset of multiple organ dysfunction syndrome (MODS). All clinical data, including symptoms, laboratory results, and treatment methods during the hospitalization period, were collected from electronic medical records, and the dynamic changes of serum cytokines were recorded simultaneously. At the same time, we searched databases such as PubMed, Web of Science, and Scopus and summarized case reports on the use of blood purification as an adjuvant therapy for patients with severe Results: After the first session of TPE+CVVHDF therapy, aberrant elevated cytokines, especially interleukin-6 and interferon-gamma, decreased sharply from 729.65 to 26.42 pg/mL and 170.38 to 42.47 pg/mL, respectively. Conclusion: The TPE+CVVHDF-based strategy provided a promising CS approach in rescuing severe falciparum malaria patients with MODS.