严重的疟疾是由于肺部参与的活性菌引起的:一个病例报告
Teresa Valido1, Ana Goncalves2, Marta Sanches3
1Department of Internal Medicine, Unidade Local de Saúde de Amadora/Sintra, Amadora, PRT.
Cureus
|March 9, 2026
概括
这一案例突出了Plasmodium vivax疟疾,一种由蚊子传播的严重感染. 早期怀疑和治疗对于有旅行史的患者至关重要,即使是非典型的表现.
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:
- 疟疾是由虫寄生虫引起的,这种寄生虫是由蚊子传播的.
- 疟原 (Plasmodium falciparum) 引起严重的疟疾,但疟原 (Plasmodium vivax) 越来越多地被认可.
- P. vivax具有潜伏形式,可以在感染后很长时间重新激活.
研究的目的:
- 在旅行者中报告严重的P. vivax疟疾病例.
- 强调对P.vivax疟疾的临床怀疑的重要性.
- 为了突出P.vivax疟疾诊断和管理.
主要方法:
- 一个46岁女性的案例研究,她曾经去过葡萄牙.
- 进行了临床检查,实验室检查 (寄生病,寄生虫密度) 和胸部断层扫描.
- 开始使用阿尔特梅瑟-卢梅方特林和多克西环素治疗.
主要成果:
- 患者出现了喘息,疲劳,发烧,低氧化,严重贫血和血小板减少.
- P. vivax疟疾被诊断为50%的寄生病和8,645个寄生虫/μL.
- 治疗导致逐渐改善,在三天内对寄生虫病的清除,以及成功的氧气断奶.
结论:
- 在具有相关流行病学暴露的患者中,即使是严重的表现,也应该怀疑P.vivax疟疾.
- 及时诊断和适当的治疗对于控制P.vivax疟疾至关重要.
- 这一案例强调了P. vivax疟疾的潜在严重性以及需要保持警.
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