Starzengruber Peter, Fuehrer Hans-Peter, Swoboda Paul, Khan Wasif A, Yunus Emran B, Hossain Shah M, Walochnik Julia, Noedl Harald
Department of Specific Prophylaxis and Tropical Medicine, Medical University of Vienna, Vienna, Austria.
BMJ Case Rep. 2010 Sep 29;2010:bcr0320102865. doi: 10.1136/bcr.03.2010.2865.
The authors report the first indigenous case of Plasmodium ovale infection from Bangladesh. The diagnosis was confirmed by PCR and sequence analysis. The patient had neither been outside of the country nor ever received blood transfusions. The authors concluded that there was evidence for a local transmission of P ovale malaria in Bangladesh. P ovale malaria should therefore always be considered a potential differential diagnosis in the indigenous population as well as travellers and migrants returning from South Asia, possibly up to years after their return.
作者报告了孟加拉国首例卵形疟原虫感染的本土病例。通过聚合酶链反应(PCR)和序列分析确诊。该患者既未出过国,也未曾接受过输血。作者得出结论,有证据表明孟加拉国存在卵形疟原虫疟疾的本地传播。因此,对于本土居民以及从南亚返回的旅行者和移民,卵形疟原虫疟疾都应始终被视为一种潜在的鉴别诊断,甚至在他们返回多年后也可能需要考虑。