Philip K E J, Baddeley R, Jenkins M, Bovill B
Estcourt Provincial Hospital, Estcourt, South Africa.
Department of Critical Care, Guy's and St Thomas' NHS Trust, London, UK.
BMJ Case Rep. 2015 Oct 13;2015:bcr2014209140. doi: 10.1136/bcr-2014-209140.
We report the case of a 28-year-old man, presenting with episodes of fever and rigours, having recently returned from Cameroon and Uganda. Initial investigations for malaria were negative, and the patient was sent home without a clear diagnosis. Subsequent review of the blood film revealed the presence of Plasmodium ovale. This case highlights the importance of repeated and careful inspection of blood films, given the relatively low sensitivity of rapid diagnostic tests in P. ovale infection. It also illustrates the importance of the travel history in the diagnosis of malaria.
我们报告了一名28岁男性的病例，该患者近期从喀麦隆和乌干达返回后，出现发热和寒战症状。最初对疟疾的检查结果为阴性，患者在未明确诊断的情况下被送回家。随后对血涂片的复查发现了卵形疟原虫。鉴于快速诊断检测对卵形疟原虫感染的敏感性相对较低，该病例凸显了反复仔细检查血涂片的重要性。它还说明了旅行史在疟疾诊断中的重要性。
