Shetty A K, Steele R W
Department of Pediatrics, Stanford University Medical Center, Stanford, California, USA.
J La State Med Soc. 1999 Jan;151(1):29-32.
A 13-year-old adolescent daughter of a missionary presented with fever and jaundice 1 week after returning from Africa. Examination of peripheral blood film revealed the diagnosis of Plasmodium falciparum infection. Therapy with oral quinine and doxycycline was curative. Diagnosis requires a travel history and a high index of suspicion. Because of the frequency of international travel, United States physicians need to be familiar with the presentation and management of imported P falciparum. Preparation for such travel must include careful counseling and optimal use of chemoprophylaxis.
一名传教士13岁的青春期女儿从非洲回来1周后出现发热和黄疸。外周血涂片检查确诊为恶性疟原虫感染。口服奎宁和强力霉素治疗有效。诊断需要旅行史和高度怀疑指数。由于国际旅行频繁，美国医生需要熟悉输入性恶性疟的表现和管理。此类旅行的准备工作必须包括仔细的咨询和最佳的化学预防措施。
