George Peter, Hegde Narasimha
Associate Professor, Department of Medicine, Father Muller Medical College , Mangalore, India .
J Clin Diagn Res. 2013 May;7(5):917-8. doi: 10.7860/JCDR/2013/4766.2975. Epub 2013 May 1.
Plasmodium falciparum malaria with complications is a challenge for the clinicians worldwide, especially when it presents with rare manifestations. Haematological abnormalities and coagulopathy are the well documented complications in malaria. Rarely does malaria present with bleeding. We are reporting a 20 years old man who presented with haematemesis as the presenting symptom of falciparum malaria. In the review of literature, there are reports of haematemesis in malaria, but none of it as a presenting symptom.
伴有并发症的恶性疟是全球临床医生面临的一项挑战,尤其是当它表现出罕见症状时。血液学异常和凝血病是疟疾中记录充分的并发症。疟疾很少出现出血症状。我们报告一名20岁男性,他以呕血作为恶性疟的首发症状。在文献回顾中,有关于疟疾呕血的报道,但均非首发症状。