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间日疟原虫疟疾继发的严重急性呼吸窘迫综合征

Severe acute respiratory distress syndrome secondary to Plasmodium vivax malaria.

作者信息

Qadeer Aayesha, Akhtar Aftab, Rasheed Amna

机构信息

Department of Critical Care Medicine, Intensive Care Unit, Shifa International Hospital, Islamabad, Pakistan.

Department of Pulmonology and Critical Care, Shifa International Hospital, Islamabad, Pakistan.

出版信息

J Pak Med Assoc. 2016 Mar;66(3):351-3.

PMID:26968294
Abstract

Plasmodium Vivax malaria is generally considered as a benign self-limiting illness and is less often associated with more severe disease and complications. Amongst these, acute respiratory distress syndrome (ARDS) is a particularly rare complication. The few cases reported describe the onset of ARDS after initiation of anti-malarial therapy as a post inflammatory response. Here we report the case of a 45 year old male who was a victim of severe Plasmodium vivax malaria culminating into ARDS, prior to the initiation of anti-malarial therapy. He was treated with invasive ventilation and anti-malarial therapy and made a complete and uneventful recovery.

摘要

间日疟原虫疟疾通常被认为是一种良性的自限性疾病,较少与更严重的疾病和并发症相关。其中,急性呼吸窘迫综合征(ARDS)是一种特别罕见的并发症。少数报告的病例描述了抗疟治疗开始后ARDS的发作是一种炎症后反应。在此,我们报告一例45岁男性病例,他在开始抗疟治疗之前就因严重的间日疟原虫疟疾最终发展为ARDS。他接受了有创通气和抗疟治疗,并完全康复且过程顺利。

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