23rd January 2024

A 71-year-old male is admitted to the high-dependency unit (HDU) with severe falciparum malaria

A 71-year-old male is admitted to the high-dependency unit (HDU) with severe falciparum malaria. He reports fever, confusion, chills, and malaise. His past medical history includes type 2 diabetes, for which he takes metformin. On examination, he demonstrates pallor and dry mucous membranes. Salient observations include oliguria, tachycardia, and hypotension.

Which of the following is the most likely underlying diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.