Boringa J B, de Jong G M
Westeinde Ziekenhuis, Den Haag.
Tijdschr Kindergeneeskd. 1992 Aug;60(4):120-2.
A case of a very sick 2.5-year-old, Ghanese boy with fever, who fell in coma in the emergency room, is described. He was diagnosed as having blackwater fever (BWF) on clinical grounds. He also had a sickle cell anaemia. A short review of BWF is given and we discuss possible causes of the anaemia in this case. The anaemia in sickle cell anaemia is described and it appears that malaria tropica can lead to a severe hemolytic sickle cell crises. We discuss the combination of sickle cell anaemia and malaria tropica.
本文描述了一名2.5岁病情严重的加纳男孩，因发烧在急诊室陷入昏迷。基于临床症状，他被诊断为患有黑水热（BWF）。他还患有镰状细胞贫血。文中对黑水热进行了简要回顾，并讨论了该病例中贫血的可能病因。描述了镰状细胞贫血中的贫血情况，热带疟疾似乎可导致严重的溶血性镰状细胞危象。我们讨论了镰状细胞贫血与热带疟疾的合并情况。
