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malaria per se does not affect the excretory system. But at times, you get so called black water fever in malaria. In this condition, you have red to black urine is passed by the patient. Usually this black water is associated with use of quinine drug. In this condition, there is large scale destruction of the red blood cells. This process release the haemoglobin in large quantity and give rise to 'Black water.

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Q: How does malaria a affect the excretory system?
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