Page last updated: 2024-09-28

Black Water Fever

A complication of MALARIA, FALCIPARUM characterized by the passage of dark red to black urine.

Synonyms(3)

Synonym
Malaria, Hemolytic
Black Water Fever
Blackwater Fever

Research Excerpts

Overview

ExcerptReference
"Blackwater fever is characterized by severe intravascular hemolysis with renal failure caused by recurrent use of quinine for prophylaxis."( Brah Bouzou, S; Djibo, A; Souna-Adamou, A, 2000)
"Blackwater fever is a rare manifestation of falciparum malaria characterized by sudden intravascular hemolysis followed by fever and hemoglobinuria."( Goyal, RK; Khandelwal, V; Kumhar, MR; Udawat, H, 2001)
"Blackwater fever is a clinical entity characterized by acute intravascular hemolysis classically occuring after the re-introduction of quinine in long-term residents in Plasmodium falciparum endemic areas and repeatedly using the product."( Bedos, JP; Bruneel, F; Danis, M; Gachot, B; Regnier, B; Vachon, F; Wolff, M, 2002)
"Blackwater fever is characterized by acute intravascular hemolysis with hemoglobinuria in patients with Plasmodium falciparum malaria."( Audagnotto, S; Corachan, M; Di Perri, G; Gobbi, F; Nkurunziza, I; Trentini, L, 2005)
"Blackwater fever is a rare but serious form of malaria in children."( Diakite, M; Keita, MM; Konate, S; Oumar, AA; Poudiougou, B; Sall, A; Sylla, M; Togo, B, 2007)
"Blackwater fever is a severe affection whose diagnosis should be evoked using the color of urine."( Diakite, M; Keita, MM; Konate, S; Oumar, AA; Poudiougou, B; Sall, A; Sylla, M; Togo, B, 2007)
"Blackwater fever is a massive hemolytic event usually occurring in the context of repeated falciparum malaria infections and intermittent quinine use."( Shanks, GD, 2017)
"Blackwater fever is a complication of malaria infection consisting of a syndrome of febrile intra-vascular haemolysis with severe anaemia and intermittent passage of dark-red to black colour urine."( Chavatte, JM; Ho, J; Huggan, PJ; Lin, RTPV; Ng, CH, 2018)
"Blackwater fever is a haemolytic syndrome associated with malaria that coincided with the use of quinine chemoprophylaxis."( Shanks, GD, 2022)

Treatment

ExcerptReference
"Five cases of blackwater fever (BWF) are described, all of whom had a history of recent quinine therapy."( Clerinx, J; Colebunders, R; Coppens, G; Depraetere, K; Peetermans, WE; Schroyens, W; Van den Ende, J; Van den Enden, E; Van Gompel, A; Van Haegenborgh, T; Verstraeten, T, 1998)
"We present a case of blackwater fever, having occurred after administration of quinine, which was treated successfully with artemether."( Goyal, RK; Khandelwal, V; Kumhar, MR; Udawat, H, 2001)
"This report describes a case of classic blackwater fever in a returning traveller, without prior history of malaria infection nor usage of anti-malarial prophylaxis, treated with two courses of oral artemether-lumefantrine combination therapy."( Chavatte, JM; Ho, J; Huggan, PJ; Lin, RTPV; Ng, CH, 2018)

Research

Studies (54)

TimeframeStudies, This Condition (%)All Conditions %
pre-199023 (42.59)23.3326
1990's7 (12.96)12.5806
2000's8 (14.81)18.1394
2010's14 (25.93)28.8240
2020's2 (3.70)9.53
DrugIndicatedRelationship StrengthStudiesTrials
quinacrine0low20
lactic acid0low10
urea0low10
aspirin0low10
chloroquine0low70
ddt0low10
primaquine0low10
pyrimethamine0low50
sulfamonomethoxine0low10
sulfanilamide0low10
prednisolone0low10
prednisone0low20
lysine0low10
sulfadoxine0low30
halofantrine0low40
fanasil, pyrimethamine drug combination0low10
artemisinin0low10
artemether0low50
atovaquone0low10
acetylsalicylic acid lysinate0low10
artesunic acid0low20
piperaquine0low10
cortisone0low30
sesquiterpenes0low30
quinine0low250
naphthoquinones0low10
bilirubin0low10
proguanil0low40
lumefantrine0low10
cgp-566970low20
beta-escin0low10
artenimol0low10
mefloquine0low30
piperidines0low10
phenanthrenes0low40

Protein Targets (418)

ProteinPotency MeasurementsInhibition MeasurementsActivation MeasurementsDrugs
TDP1 protein130013
AR protein150015
cytochrome P450 family 3 subfamily A polypeptide 4120012
pregnane X nuclear receptor100010
estrogen nuclear receptor alpha160016
G4004
thyroid hormone receptor beta isoform 2110011
ATP-binding cassette sub-family C member 30808
Multidrug resistance-associated protein 40808
Bile salt export pump012012
Interferon beta7007
HLA class I histocompatibility antigen, B alpha chain 4004
Inositol hexakisphosphate kinase 14004
Canalicular multispecific organic anion transporter 10808
cytochrome P450 2C9, partial4004
Chain A, Ferritin light chain1001
RAR-related orphan receptor gamma100010
USP1 protein, partial4004
nuclear receptor subfamily 1, group I, member 39009
nonstructural protein 11001
estrogen-related nuclear receptor alpha120012
cytochrome P450, family 19, subfamily A, polypeptide 1, isoform CRA_a5005
Histone H2A.x5005
chromobox protein homolog 15005
nuclear factor erythroid 2-related factor 2 isoform 1110011
geminin8008
Cellular tumor antigen p538008
TAR DNA-binding protein 433003
Dihydroorotate dehydrogenase 0101
ATPase family AAA domain-containing protein 53003
Ataxin-25005
Cytochrome P450 3A40303
Cytochrome P450 2B60101
Chain A, MAJOR APURINIC/APYRIMIDINIC ENDONUCLEASE2002
Chain A, TYROSYL-DNA PHOSPHODIESTERASE7007
Chain A, Phospholipase A2 isoform 30011
Chain A, HADH2 protein5005
Chain B, HADH2 protein5005
Chain A, 2-oxoglutarate Oxygenase3003
GTP-binding protein (rab7)0011
ras protein, partial0011
interleukin 82002
thioredoxin reductase4004
GLS protein2002
aldehyde dehydrogenase 1 family, member A17007
thyroid stimulating hormone receptor4004
hypothetical protein, conserved1001
EWS/FLI fusion protein5005
glucocorticoid receptor [Homo sapiens]7007
retinoic acid nuclear receptor alpha variant 1110011
cytochrome P450 2D67007
glucocerebrosidase1001
peroxisome proliferator-activated receptor delta6006
Rac1 protein0011
IDH14004
cell division cycle 42 (GTP binding protein, 25kDa), partial0011
euchromatic histone-lysine N-methyltransferase 27007
Bloom syndrome protein isoform 11001
15-hydroxyprostaglandin dehydrogenase [NAD(+)] isoform 13003
DNA polymerase iota isoform a (long)3003
DNA polymerase kappa isoform 13003
muscarinic acetylcholine receptor M12002
lethal factor (plasmid)3003
Prostaglandin-H2 D-isomerase0101
Solute carrier family 22 member 60202
Prostaglandin G/H synthase 1 0101
Prostaglandin G/H synthase 2 0101
Epidermal growth factor receptor0101
Carbonic anhydrase 10507
Carbonic anhydrase 20518
Fatty acid-binding protein, liver0202
Integrin beta-33104
Myeloperoxidase0101
Prostaglandin G/H synthase 10101
Seed linoleate 13S-lipoxygenase-10101
Integrin alpha-IIb3104
Glutathione hydrolase 1 proenzyme0101
Prostaglandin G/H synthase 10202
Adenosine receptor A10101
Adenosine receptor A2a0101
Substance-P receptor0101
Prostaglandin G/H synthase 20303
Urotensin-2 receptor0101
4-aminobutyrate aminotransferase, mitochondrial0101
Nuclear receptor ROR-gamma4004
Ras-related protein Rab-2A0011
Gamma-aminobutyric acid receptor subunit alpha-12103
Prostaglandin G/H synthase 20101
Rho-associated protein kinase 20101
Nicotinate phosphoribosyltransferase0101
Solute carrier family 22 member 200101
Solute carrier family 22 member 60101
Sigma non-opioid intracellular receptor 10112
Sigma non-opioid intracellular receptor 10011
phosphopantetheinyl transferase4004
SMAD family member 24004
SMAD family member 34004
GLI family zinc finger 3100010
Microtubule-associated protein tau3003
hypoxia-inducible factor 1, alpha subunit (basic helix-loop-helix transcription factor)3003
retinoid X nuclear receptor alpha7007
peroxisome proliferator activated receptor gamma5005
aryl hydrocarbon receptor6006
activating transcription factor 62002
v-jun sarcoma virus 17 oncogene homolog (avian)9009
Dihydroorotate dehydrogenase 0101
cellular tumor antigen p53 isoform a4004
cytochrome P450 2C9 precursor1001
potassium voltage-gated channel subfamily H member 2 isoform d6006
transcriptional regulator ERG isoform 31001
heat shock protein beta-14004
ubiquitin carboxyl-terminal hydrolase 2 isoform a3003
nuclear receptor ROR-gamma isoform 13003
Vpr1001
peripheral myelin protein 225005
histone acetyltransferase KAT2A isoform 12002
lamin isoform A-delta106006
Voltage-dependent calcium channel gamma-2 subunit6006
Cytochrome b0101
Glutamate receptor 26006
Dihydroorotate dehydrogenase (fumarate)0101
Histamine H2 receptor1001
Spike glycoprotein6118
Guanine nucleotide-binding protein G1001
Disintegrin and metalloproteinase domain-containing protein 172002
Dihydroorotate dehydrogenase (quinone), mitochondrial0102
Dihydroorotate dehydrogenase 0202
Dihydroorotate dehydrogenase (quinone), mitochondrial0102
Broad substrate specificity ATP-binding cassette transporter ABCG20303
Chain A, Putative fructose-1,6-bisphosphate aldolase1001
Chain A, Cruzipain2002
vitamin D3 receptor isoform VDRA2002
caspase-1 isoform alpha precursor1001
Caspase-71001
Inositol monophosphatase 11001
Solute carrier organic anion transporter family member 1B30203
Solute carrier organic anion transporter family member 1B10203
PPM1D protein1001
glucose-6-phosphate dehydrogenase-6-phosphogluconolactonase0101
Spike glycoprotein0112
Replicase polyprotein 1ab0112
glucose-6-phosphate 1-dehydrogenase isoform b0101
flap endonuclease 13003
Transmembrane protease serine 20112
Dihydrofolate reductase 0202
DNA ligase0101
Riboflavin-binding protein0123
Major prion protein0022
Amyloid-beta precursor protein0102
Histidine-rich protein PFHRP-II0304
Procathepsin L0112
Muscarinic acetylcholine receptor M20303
Muscarinic acetylcholine receptor M40303
Muscarinic acetylcholine receptor M50303
Alpha-2A adrenergic receptor0303
Replicase polyprotein 1a0112
Replicase polyprotein 1ab0112
Replicase polyprotein 1ab0112
Spike glycoprotein0101
Replicase polyprotein 1ab0213
Muscarinic acetylcholine receptor M10303
Ribosyldihydronicotinamide dehydrogenase [quinone]0202
Alpha-2B adrenergic receptor0303
Alpha-2C adrenergic receptor0303
DNA ligase 10101
Muscarinic acetylcholine receptor M30303
Serine/threonine-protein kinase mTOR0101
Nuclear receptor subfamily 4 group A member 20011
Beta-secretase 10101
Calcium-dependent protein kinase 10011
MO15-related protein kinase Pfmrk 0101
DNA ligase A0101
Potassium voltage-gated channel subfamily H member 20505
Sigma intracellular receptor 20101
Phosphoethanolamine N-methyltransferase0202
Angiotensin-converting enzyme 2 0112
Cysteine proteinase falcipain 2a 0101
Cysteine proteinase falcipain 2a 0101
endonuclease IV2002
acetylcholinesterase3003
GALC protein2002
progesterone receptor6006
vitamin D (1,25- dihydroxyvitamin D3) receptor4004
dopamine D1 receptor2002
pregnane X receptor4004
regulator of G-protein signaling 42002
nuclear factor of kappa light polypeptide gene enhancer in B-cells 1 (p105), isoform CRA_a4004
peripheral myelin protein 22 isoform 11001
atrial natriuretic peptide receptor 1 precursor1001
survival motor neuron protein isoform d2002
cytochrome P450 3A4 isoform 12002
M-phase phosphoprotein 82002
Gamma-aminobutyric acid receptor subunit pi2002
Glucocorticoid receptor06213
Sex hormone-binding globulin0011
Glycine receptor subunit alpha-10606
Corticosteroid-binding globulin0202
Gamma-aminobutyric acid receptor subunit beta-12002
Gamma-aminobutyric acid receptor subunit delta2002
Gamma-aminobutyric acid receptor subunit gamma-22002
Gamma-aminobutyric acid receptor subunit alpha-52002
Gamma-aminobutyric acid receptor subunit alpha-32002
Glycine receptor subunit beta0606
Glycine receptor subunit alpha-20606
Gamma-aminobutyric acid receptor subunit gamma-12002
Gamma-aminobutyric acid receptor subunit alpha-22002
Glycine receptor subunit alpha-30606
Gamma-aminobutyric acid receptor subunit alpha-42002
Gamma-aminobutyric acid receptor subunit gamma-32002
Gamma-aminobutyric acid receptor subunit alpha-62002
Gamma-aminobutyric acid receptor subunit beta-32002
Gamma-aminobutyric acid receptor subunit beta-22002
Potassium voltage-gated channel subfamily A member 10011
GABA theta subunit2002
Multidrug and toxin extrusion protein 10202
Gamma-aminobutyric acid receptor subunit epsilon2002
hypoxia-inducible factor 1 alpha subunit2002
estrogen receptor 2 (ER beta)5005
farnesoid X nuclear receptor4004
thyroid stimulating hormone receptor4004
Caspase-72002
thyroid hormone receptor beta isoform a1001
caspase-32002
mitogen-activated protein kinase 11001
nuclear factor NF-kappa-B p105 subunit isoform 11001
Androgen receptor0202
thyrotropin-releasing hormone receptor1001
Carbonic anhydrase 120203
Bile salt export pump0101
Albumin0112
Carbonic anhydrase 30202
Glucose-6-phosphate 1-dehydrogenase0101
Cytochrome P450 2C9 0303
Carbonic anhydrase 40203
Carbonic anhydrase 60304
Serum paraoxonase/arylesterase 10101
Corticosteroid 11-beta-dehydrogenase isozyme 10101
Carbonic anhydrase 5A, mitochondrial0305
Carbonic anhydrase 70203
Adenosine receptor A10101
Corticosteroid 11-beta-dehydrogenase isozyme 10101
Cytochrome P450 2J20202
6-phosphogluconate dehydrogenase, decarboxylating0101
Holo-[acyl-carrier-protein] synthase0101
Solute carrier organic anion transporter family member 2A10101
Sodium/bile acid cotransporter0101
Carbonic anhydrase 90304
Carbonic anhydrase 130203
G-protein coupled receptor 350112
CDGSH iron-sulfur domain-containing protein 10202
Carbonic anhydrase 140203
Carbonic anhydrase 5B, mitochondrial0204
Fumarate hydratase4004
polyprotein4004
Voltage-dependent L-type calcium channel subunit alpha-1F0101
Voltage-dependent L-type calcium channel subunit alpha-1D 0101
Voltage-dependent L-type calcium channel subunit alpha-1S0101
Voltage-dependent L-type calcium channel subunit alpha-1C0101
caspase 7, apoptosis-related cysteine protease2002
caspase-32002
nuclear receptor subfamily 1, group I, member 22002
Chain A, Ribulose-1,5 bisphosphate carboxylase/oxygenase large subunit N-methyltransferase, chloroplast0101
Chain A, Ribulose-1,5 bisphosphate carboxylase/oxygenase large subunit N-methyltransferase, chloroplast0101
Glutathione reductase, mitochondrial0303
Cationic amino acid transporter 30101
luciferase0001
nuclear factor erythroid 2-related factor 2 isoform 23003
Estrogen receptor0202
Progesterone receptor0203
Glucocorticoid receptor0112
Glucocorticoid receptor0011
Mineralocorticoid receptor 0213
Androgen receptor0202
Glutamine synthetase0011
Histamine H1 receptor0011
Nociceptin receptor0011
Estrogen receptor beta0202
thioredoxin glutathione reductase1001
90-kda heat shock protein beta HSP90 beta, partial0101
heat shock protein HSP 90-alpha isoform 20101
Cytochrome P450 1A20101
60 kDa chaperonin0101
60 kDa heat shock protein, mitochondrial0101
Amine oxidase [flavin-containing] A0101
Acetylcholinesterase0203
Amine oxidase [flavin-containing] B0101
Sodium-dependent serotonin transporter0202
Serine hydroxymethyltransferase, mitochondrial0101
10 kDa heat shock protein, mitochondrial0101
Thiosulfate sulfurtransferase0101
60 kDa chaperonin 0101
10 kDa chaperonin 0101
Chloroquine resistance transporter0101
cytochrome P450 2D6 isoform 12002
Trace amine-associated receptor 50022
Trace amine-associated receptor 10011
Trace amine-associated receptor 10011
glp-1 receptor, partial1001
Smad31001
67.9K protein2002
dual specificity protein phosphatase 30101
low molecular weight phosphotyrosine protein phosphatase isoform c0101
urokinase-type plasminogen activator precursor2002
plasminogen precursor2002
urokinase plasminogen activator surface receptor precursor2002
tyrosine-protein phosphatase non-receptor type 22 isoform 10101
streptokinase A precursor0011
cGMP-dependent 3',5'-cyclic phosphodiesterase0101
Bifunctional dihydrofolate reductase-thymidylate synthase0101
Solute carrier family 22 member 10202
Solute carrier family 22 member 1 0303
Dihydrofolate reductase0202
Estrogen receptor0011
Beta-hexosaminidase subunit alpha0102
Beta-hexosaminidase subunit beta0101
Dihydrofolate reductase0214
Bifunctional dihydrofolate reductase-thymidylate synthase0202
Dihydrofolate reductase0202
Substance-K receptor0101
Dihydrofolate reductase0101
Low molecular weight phosphotyrosine protein phosphatase0101
Dipeptidyl peptidase 40101
Pteridine reductase 10101
Bifunctional dihydrofolate reductase-thymidylate synthase0101
Bifunctional dihydrofolate reductase-thymidylate synthase0101
Estrogen receptor beta0011
Bifunctional dihydrofolate reductase-thymidylate synthase0202
Multidrug and toxin extrusion protein 10101
Dihydrofolate reductase0101
N0101
ATAD5 protein, partial1001
NPYLR7B0011
arylsulfatase A1001
heat shock 70kDa protein 5 (glucose-regulated protein, 78kDa)1001
NPC intracellular cholesterol transporter 1 precursor1001
cystic fibrosis transmembrane conductance regulator0101
D(1A) dopamine receptor1001
ras-related protein Rab-9A1001
serine/threonine-protein kinase mTOR isoform 11001
peptidyl-prolyl cis-trans isomerase NIMA-interacting 11001
tumor susceptibility gene 101 protein1001
Major prion protein0101
Aldo-keto reductase family 1 member B10202
ATP-dependent translocase ABCB10214
Muscarinic acetylcholine receptor M10101
Muscarinic acetylcholine receptor M30101
Muscarinic acetylcholine receptor M40101
Muscarinic acetylcholine receptor M50101
DNA-directed RNA polymerase subunit alpha0101
DNA-directed RNA polymerase subunit omega0101
DNA-directed RNA polymerase subunit beta'0101
DNA-directed RNA polymerase subunit beta0101
Muscarinic acetylcholine receptor M20101
Phospholipase A2, membrane associated0101
Phospholipase A2, membrane associated0101
Acidic phospholipase A2 20101
Sodium-dependent noradrenaline transporter 0202
Histamine H2 receptor0202
Alpha-1D adrenergic receptor0202
5-hydroxytryptamine receptor 2A0202
Trypanothione reductase0202
D(3) dopamine receptor0202
D(1A) dopamine receptor1001
Aldehyde oxidase 10101
Cholinesterase0101
Aldehyde oxidase0101
Cyclic GMP-AMP synthase0101
2,3-bisphosphoglycerate-independent phosphoglycerate mutase1001
Solute carrier family 22 member 20102
Solute carrier organic anion transporter family member 1A40101
Solute carrier family 22 member 20101
Potassium channel subfamily K member 20101
Cytochrome P450 2D10101
Cytochrome P450 2D260101
Cytochrome P450 2D60202
Cytochrome P450 2D30101
Solute carrier organic anion transporter family member 1A10101
5-hydroxytryptamine receptor 70101
Solute carrier family 22 member 10203
Cytochrome P450 2D40101
Solute carrier family 22 member 20202
cytochrome P450 2C19 precursor1001
Carbonic anhydrase 0001
Carbonic anhydrase 0101
Carbonic anhydrase 0101
Carbonic anhydrase 0101
Carbonic anhydrase0101
Carbonic anhydrase0101
Carbonic anhydrase 20112
Cholinesterase0101
5-hydroxytryptamine receptor 2C0101
5-hydroxytryptamine receptor 2A0101
Carbonic anhydrase 5A, mitochondrial0101
5-hydroxytryptamine receptor 2B0101
Delta-type opioid receptor0101
Delta-type opioid receptor0101
Mu-type opioid receptor0101
Carbonic anhydrase0101
Carbonic anhydrase0101
Carbonic anhydrase 0101
Mu-type opioid receptor0101
Beta-carbonic anhydrase 10101
Carbonic anhydrase 20101
Carbonic anhydrase, alpha family 0101
Carbonic anhydrase 0101
Carbonic anhydrase0101
Carbonic anhydrase0101
Carbonic anhydrase 0101
Delta carbonic anhydrase0101
Carbonic anhydrase 0101
Carbonic anhydrase 130101
Carbonic anhydrase 40101
Carbonic anhydrase 150101
Protein argonaute-20011
Rap guanine nucleotide exchange factor 31001
Urease subunit alpha0101
Urease subunit beta0101
Olfactory receptor 51E20011
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]