远离视线,不应该远离心灵:令人困惑的疟疾病例
Shilpi Saxena1, Reena Das2, Sumeeta Khurana3
1Dept of Lab Medicine, Command Hospital Western Command, Panchkula, Haryana, 134107, India.
Indian journal of medical microbiology
|November 23, 2025
概括
在低水平的寄生虫的情况下,诊断疟疾可能具有挑战性. 骨髓检查和PCR证明对于识别Plasmodium spp.至关重要. 在患有非典型症状和阴性血液检测的患者中.
科学领域:
- 传染性疾病 传染性疾病
- 血液学 血液学 血液学
- 热带医学 热带医学
背景情况:
- 疟疾诊断在低寄生病和非典型呈现方面具有挑战性.
- 标准的诊断方法,如周围血液涂抹和快速诊断测试,可以产生错误的阴性结果.
研究的目的:
- 报告通过骨髓检查诊断的疟疾病例,患者的外周血液检测结果为阴性.
- 突出骨髓显微镜和PCR在具有挑战性的疟疾病例中的实用性.
主要方法:
- 周围血液涂抹显微镜检查
- 疟疾快速诊断测试 疟疾快速诊断测试
- 骨髓吸收和显微镜检查
- 聚合酶连锁反应 (PCR) 在骨髓吸附剂上.
主要成果:
- 最初的外周血液涂抹和RDTs对疟疾寄生虫呈阴性.
- 骨髓检查显示,罕见的红细胞感染了Plasmodium spp.
- 通过PCR确认了Plasmodium spp. 的存在. 在骨髓中吸入.
结论:
- 骨髓检查是诊断疟疾的一个有价值的工具,当周围血液检查没有确定性时.
- 骨髓吸入物的PCR在困难的情况下为疟疾检测提供了高灵敏度.
- 及时诊断和治疗导致她完全康复.
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