Burel-Vandenbos Fanny, Effa'a Christian, Alunni Véronique, Cardot-Leccia Nathalie, Haudebourg Juliette, Michiels Jean-François
Laboratoire d'anatomie pathologique, hôpital Pasteur, CHU de Nice, 30, avenue de la Voie-Romaine, 06000 Nice, France.
Ann Pathol. 2008 Dec;28(6):495-7. doi: 10.1016/j.annpat.2008.06.036. Epub 2008 Nov 14.
Plasmodium falciparum infection is an emergency because of the risk of cerebral malaria, that is the most severe complication. Malaria diagnosis is usually made on blood samples of feverish patients coming from endemic area. The pathologist is rarely confronted with malaria lesions. If the occasion arises, the diagnosis of malaria is often already known or suspected and the pathologist has to confirm it. Rarely, malaria is unknown before histological examination and the diagnosis is based on the identification of specific histological features. We report a case of sudden death due to cerebral malaria diagnosed on autopsy findings.
恶性疟原虫感染是一种紧急情况，因为存在发生脑型疟疾的风险，而脑型疟疾是最严重的并发症。疟疾诊断通常基于来自流行地区发热患者的血样。病理学家很少遇到疟疾病变。如果遇到这种情况，疟疾的诊断往往已经为人所知或有所怀疑，病理学家只需加以证实。很少有在组织学检查之前疟疾不为人知的情况，诊断是基于特定组织学特征的识别。我们报告一例因尸检发现诊断为脑型疟疾而猝死的病例。
