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诺氏疟原虫:一种在人类中出现的新兴疟原虫物种?

[Plasmodium knowlesi: an emerging species in humans?].

作者信息

Servonnet A, Rapp C, Delacour H, Bigaillon C, Pilo J E, Mérens A

机构信息

Hôpital d'instruction des armées Bégin, laboratoire de biologie, 69, avenue de Paris, 94163 Saint-Mandé cedex, France.

出版信息

Med Sante Trop. 2012 Oct-Dec;22(4):417-21. doi: 10.1684/mst.2012.0116.

Abstract

Plasmodium knowlesi is typically found in macaques and has recently been recognized as the fifth Plasmodium species to cause malaria in humans. Several cases of P. knowlesi malaria have been reported in people in Southeast Asia. Most cases are simple but approximately one in 10 patients develops complications. The morphology of P. knowlesi parasites in human infections closely resembles that of Plasmodium malariae or Plasmodium falciparum, so a molecular method is the optimum diagnostic procedure. The treatment of choice for uncomplicated P. knowlesi malaria is oral chloroquine, whereas severe infection should be treated with intravenous quinine.

摘要

诺氏疟原虫通常存在于猕猴体内,最近被确认为可导致人类疟疾的第五种疟原虫。东南亚地区已报告多例诺氏疟原虫疟疾病例。大多数病例症状较轻,但约十分之一的患者会出现并发症。人类感染诺氏疟原虫后的形态与三日疟原虫或恶性疟原虫极为相似,因此分子检测方法是最佳诊断程序。非重症诺氏疟原虫疟疾的首选治疗药物是口服氯喹,而重症感染则应采用静脉注射奎宁进行治疗。

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