案例报告:疟疾和E型肝炎的同时感染 - - 塞尔维亚首次与此类进口实体接触
Aleksandar Ranković1,2, Maja Cvetanović1,2, Jelena Miladinović2
1Department of Infectious Diseases and Epidemiology, Faculty of Medicine, University of Niš, Niš, Serbia.
Frontiers in medicine
|December 19, 2024
概括
本案例报告详细介绍了一名欧洲患者罕见的疟疾和肝炎E联合感染,呈现为急性肝衰竭. 按照世卫组织的指导方针迅速治疗导致完全康复,强调考虑进口感染的重要性.
科学领域:
- 热带医学 热带医学
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
背景情况:
- 肝炎E病毒 (HEV) 和疟疾在热带地区很常见,但在欧洲很少被报告为进口感染.
- 同时感染HEV和疟疾带来了独特的诊断和管理挑战.
研究的目的:
- 报告欧洲患者首例被记录的进口疟疾和E型肝炎联合感染病例.
- 描述这种罕见的双重感染的临床表现,诊断和成功管理.
主要方法:
- 一名24岁的男性呈现急性肝衰竭症状,包括尿液深色和凝血和炎症标志物升高.
- 诊断得到了血样检查Plasmodium falciparum和抗HEVIgM抗体的血清测试的确认.
主要成果:
- 患者表现出急性肝衰竭和炎症的迹象.
- 鉴定了*Plasmodium falciparum*和HEV IgM抗体,证实了共感染.
- 用抗疟疾药物和支持性护理的成功治疗导致了完全康复.
结论:
- 这一病例代表了欧洲罕见的疟疾和肝炎E联合感染.
- 遵守世卫组织针对严重疟疾治疗的指导方针,有助于完全康复.
- 强调需要警诊断进口热带疾病在非特有地区.
相关概念视频
Rocky Mountain Spotted Fever
Rocky Mountain Spotted Fever (RMSF) is a severe tick-borne illness caused by Rickettsia rickettsii, a Gram-negative, coccobacillary bacterium. This pathogen is an obligate intracellular parasite, requiring a host cell for replication. Transmission occurs through the bite of an infected tick. In the United States, the most important vectors are Dermacentor variabilis (American dog tick) and Dermacentor andersoni (Rocky Mountain wood tick), though other tick species may also serve as vectors.
Arboviral Encephalitis
Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
Yellow Fever
Yellow fever is a viral hemorrhagic disease caused by the yellow fever virus (YFV), a member of the Flaviviridae family. It is transmitted primarily by Aedes and Haemagogus mosquitoes in tropical and subtropical regions of Africa and South America. After transmission through a mosquito bite, the virus initially replicates in skin-resident immune cells such as dendritic cells and macrophages. These cells then migrate to the lymph nodes, where viral replication increases, eventually leading to...
Hepatitis
Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver. The...
Toxoplasmosis
Toxoplasmosis, a zoonotic disease caused by the protozoan Toxoplasma gondii, poses significant public health challenges globally due to its high seroprevalence and varied clinical manifestations. As an obligate intracellular parasite, T. gondii can infect all warm-blooded vertebrates, but felids are its only definitive hosts, shedding unsporulated oocysts into the environment. Humans typically acquire the infection through ingestion of tissue cysts in undercooked meat or oocysts from...
Amebiasis
Entamoeba histolytica, a protozoan parasite, is responsible for intestinal and extraintestinal amebiasis. Though a significant proportion of infections remain asymptomatic, approximately 50 million individuals annually are estimated to present with clinical disease, resulting in up to 100,000 deaths globally. The disease burden is disproportionately high in regions with lower socioeconomic status, such as parts of India, Africa, Mexico, and Latin America.Etiology and TransmissionThe infective...


