Department of medicine, Hamad General Hospital, P.O. Box: 3050, Doha, Qatar.
Travel Med Infect Dis. 2009 Nov;7(6):378-80. doi: 10.1016/j.tmaid.2009.11.002.
This is a report of a case of blackwater fever in a 28-year-old Nigerian man who was admitted to hospital with fever, jaundice and passing dark urine. Abdominal examination revealed splenomegaly and an examination of the peripheral smear of the patient showed the ring form of the trophozoites of Plasmodium falciparum (P. falciparum). Serum creatinine was 200micromol/L. Treatment with quinine and doxycycline was started and intravenous fluids were administered with close monitoring of the urine output and serum electrolytes. Due to the alarming amount of fluid accumulation and his exacerbated azotaemia the decision was made to haemodialyse the patient; the patient required five haemodialysis sessions during his stay in the hospital. He was discharged on the sixteenth day after admission with a serum creatinine level of 160micromol/L.
这是一例黑尿热的报告，患者为 28 岁尼日利亚男性，因发热、黄疸和尿色加深而入院。腹部检查发现脾肿大，外周血涂片检查显示恶性疟原虫（Plasmodium falciparum，P. falciparum）的环状滋养体。血清肌酐为 200μmol/L。开始使用奎宁和强力霉素治疗，并给予静脉补液，密切监测尿量和血清电解质。由于液体积聚量惊人且氮质血症恶化，决定对患者进行血液透析；患者在住院期间共进行了五次血液透析。入院第 16 天，他出院时血清肌酐水平为 160μmol/L。
