Shao Emily Han, Hayes Ellen Martina, Khwaja Haris A, Efthimiou Evangelos
Department of General Surgery, Chelsea and Westminster Hospital, London, UK.
BMJ Case Rep. 2011 Nov 8;2011:bcr0720114564. doi: 10.1136/bcr.07.2011.4564.
The authors present the case of a 43-year-old gentleman who was admitted for an elective surgical removal of an eroded gastric band. The patient reported no medical concerns and other than a mild anaemia of haemoglobin of 10.6, his preoperative assessment was non-significant. Postoperatively, the patient spiked temperatures on multiple occasions. When a travel history was subsequently taken, the patient revealed he had returned from Nigeria the night before his elective surgery. The patient tested positive for Plasmodium falciparum malaria for which he was successfully managed with oral quinine and doxycycline, and recuperated well both from malaria and the surgery. P falciparum malaria is a medical emergency and increases the morbidity and mortality of anaesthesia and surgery. Travel histories are not currently routinely taken as part of the preoperative assessment for elective surgical admissions; the authors argue that it should become a mandatory part.
作者介绍了一位43岁男性患者的病例，该患者因择期手术切除侵蚀性胃束带而入院。患者表示无其他医疗问题，除了血红蛋白轻度贫血为10.6外，其术前评估无异常。术后，患者多次出现体温升高。随后询问旅行史时，患者透露他在择期手术前一晚从尼日利亚返回。该患者恶性疟原虫检测呈阳性，通过口服奎宁和强力霉素成功治疗，疟疾和手术恢复情况良好。恶性疟原虫疟疾是一种医疗急症，会增加麻醉和手术的发病率和死亡率。目前，旅行史并非择期手术入院术前评估的常规内容；作者认为应将其作为强制性部分。
