Sighinolfi L, Libanore M, Bicocchi R, Reverberi R, Bedetti A, Ghinelli F
Divisione di Malattie infettive, Arcispedale S. Anna, Ferrara.
Recenti Prog Med. 1990 Dec;81(12):804-5.
A 33-years-old male presented with a severe malaria, caused by a chloroquine resistant strain of Plasmodium falciparum. The number of parasitized erythrocytes reached 20% and the patient had cerebral complication. During the second hospital day, an erythrocyte exchange was performed as an in addition to chemotherapy. The patient's clinical condition improved and the parasitemia disappeared. The erythrocyte exchange is recommended in severe malaria, when parasitemia greater than 10%, with or without cerebral, renal or blood coagulation complications.
一名33岁男性因对氯喹耐药的恶性疟原虫感染而出现严重疟疾。寄生红细胞数量达20%，患者出现脑部并发症。在住院第二天，除化疗外还进行了红细胞置换。患者临床状况改善，寄生虫血症消失。对于严重疟疾，当寄生虫血症大于10%，无论有无脑部、肾脏或凝血并发症时，建议进行红细胞置换。
