[胃肠道症状可能反映复杂的型疟疾]
Matthias Kästner1, Christoph Josef Hemmer1, Emil Christian Reisinger1
1Abteilung für Tropenmedizin und Infektionskrankheiten mit Sektion Nephrologie der Universitätsmedizin Rostock.
Deutsche medizinische Wochenschrift (1946)
|April 2, 2024
概括
一名从坦桑尼亚返回的旅行者出现了严重的疟疾症状,包括持续的吐. 迅速的静脉注射阿特苏纳酸治疗对恢复至关重要,强调需要将吐视为严重疟疾指标.
科学领域:
- 热带医学 热带医学
- 传染性疾病 传染性疾病
- 寄生虫学的寄生虫学
背景情况:
- 一名42岁的女性旅行者从坦桑尼亚返回,患有疟疾症状.
- 她没有遵守推的抗疟疾化疗预防.
研究的目的:
- 报告一个旅行者感染Plasmodium falciparum疟疾的病例.
- 强调考虑持续吐作为复杂疟疾的标准的重要性.
主要方法:
- 通过血液膜证实了Plasmodium falciparum疟疾的诊断.
- 由于吐,最初用阿托瓦奎/普罗瓜尼尔的口服治疗失败了.
- 治疗被切换为静脉注射的阿尔特苏纳酸,随后是口服补充.
主要成果:
- 患者出现吐,腹,发烧和寒.
- 血液膜证实了Plasmodium falciparum; 已经注意到血小板缺血和腹壮大.
- 静脉注射阿尔特苏纳酸有效降低了寄生虫病,导致症状消失.
结论:
- 疟疾患者持续吐可能表明迫在眉的器官衰竭.
- 建议在这种情况下进行静脉治疗和密切监测.
- 持续的吐应该被认为是复杂疟疾的标准.
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