在美墨边境的移民女性中出现多微生物感染
Eshani Kishore1, Frederick Gyabaah1, Abhizith Deoker1
1Internal Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, USA.
Cureus
|January 31, 2024
概括
这项案例研究强调了委内瑞拉旅行者的疟疾感染,通过外周血液涂抹诊断出来. 用阿托瓦昆-普罗瓜尼尔和普里马奎因及时治疗对于恢复和预防复发至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 热带医学 热带医学
- 寄生虫学的寄生虫学
背景情况:
- 疟疾是一种由阿诺菲莱斯蚊子传播的寄生虫感染,引起周期性发烧,肌痛和头痛.
- 大多数美国疟疾病例涉及从非洲返回的旅行者,通常是Plasmodium falciparum或ovale.
- 标准的治疗方法包括阿尔特米西宁,克洛洛昆或阿托瓦昆-普罗瓜尼尔.
研究的目的:
- 在患有同时存在登革热抗体和犀牛病毒感染的患者中报告一种独特的疟疾病例.
- 详细介绍了来自南美洲的旅行者的疟疾诊断过程和治疗挑战.
- 强调在与特定旅行路线相关的疟疾病例中考虑Plasmodium vivax的重要性.
主要方法:
- 一位38岁的移民女性发烧,头痛和腹的临床呈现分析.
- 使用外周血液涂抹检测疟疾寄生虫的诊断确认.
- 对登革热抗体进行血清检测,并确定并发性犀牛病毒感染.
- 基于诊断和培养结果的治疗管理,包括洛昆,阿托瓦昆-普罗瓜尼尔和普里马昆.
主要成果:
- 该患者出现了与疟疾相一致的症状,并且有旅行史表明在墨西哥暴露.
- 周围血液涂抹显示了Plasmodium环形,表明疟疾感染,可能是Plasmodium vivax.
- 该患者还具有阳性登革热抗体和并发性犀牛病毒感染.
- 起初用洛昆治疗不足,但随后用阿托瓦昆-普罗瓜尼尔和普里马昆治疗导致康复.
结论:
- 这一案例强调了考虑Plasmodium vivax在来自流行地区的旅行者中疟疾诊断中的重要性.
- 同感染和先前的免疫病史 (登革热抗体) 可以使临床表现和诊断复杂化.
- 有效的管理需要精确的物种识别和适当的抗疟疾治疗,包括彻底治愈Plasmodium vivax.
- 快速准确的诊断和治疗对于管理脆弱人群中的疟疾和预防并发症至关重要.
相关概念视频
01:20Infection
7.9K
When a pathogen enters the body and reproduces, it can cause an infection, damage body cells, and cause illness symptoms that eventually lead to disease. Therefore, its prevention requires breaking the chain of infection.
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
7.9K
01:26Sexually Transmitted Infections
315
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
315
01:29Pulmonary Tuberculosis I
243
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
243
01:26Factors Affecting the Risk of Infection
11.8K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.8K