Muehlethaler K, Scheurer E, Zollinger U, Markwalder R, Nguyen X M
Institute for Infectious Diseases, Clinical Microbiology, University of Bern, Friedbuehlstrasse 51, CH-3010 Bern, Switzerland.
Infection. 2005 Feb;33(1):33-5. doi: 10.1007/s15010-005-3166-9.
Malaria remains the most important parasitic disease worldwide. Falciparum malaria is a medical emergency and requires immediate diagnosis and treatment. Cerebral malaria is a rapidly progressive, potentially fatal complication of Plasmodium falciparum infection. This case, including post-mortem observations, histology, and laboratory diagnosis, emphasizes the necessity of appropriate advice regarding malaria prophylaxis before travel to an endemic area. Malaria should always be considered in the differential diagnosis of patients presenting with fever and/or nonspecific flu-like symptoms after traveling to endemic countries.
疟疾仍然是全球最重要的寄生虫病。恶性疟是一种医疗急症,需要立即诊断和治疗。脑型疟是恶性疟原虫感染迅速进展、可能致命的并发症。本病例,包括尸检观察、组织学和实验室诊断,强调了前往疟疾流行地区前进行适当疟疾预防建议的必要性。对于前往流行国家后出现发热和/或非特异性流感样症状的患者,鉴别诊断时应始终考虑疟疾。