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1例通过红细胞置换治疗的脑型疟疾

A Case of Cerebral Malaria Managed by Erythrocyte Exchange.

作者信息

Ersan Gürsel, Köse Işıl, Liv Fatma, Gireniz Tatar Bengü, Köse Şükran

机构信息

Tepecik Eğitim ve Araştırma Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji, İzmir, Türkiye.

出版信息

Turkiye Parazitol Derg. 2017 Jun;41(2):123-125. doi: 10.5152/tpd.2017.4704.

Abstract

Plasmodium falciparum may cause serious and sometimes even fatal cerebral malaria. Cerebral malaria is a disease characterized by alterations in consciousness and epileptic attacks; therefore, it requires a rapid evaluation and quick intervention. It may progress to a fatal outcome despite administering targeted therapeutic interventions. There are studies indicating that erythrocyte exchange (erythrocytapheresis) can be a treatment modality for managing severe malaria patients. In this case report, the successful management of a cerebral malaria patient by the combination of antimalarial drug therapy and erythrocyte exchange is presented.

摘要

恶性疟原虫可能导致严重的、有时甚至是致命的脑型疟疾。脑型疟疾是一种以意识改变和癫痫发作为特征的疾病;因此,它需要快速评估和迅速干预。尽管进行了针对性的治疗干预,它仍可能发展为致命的结局。有研究表明,红细胞置换(红细胞单采术)可以作为治疗重症疟疾患者的一种治疗方式。在本病例报告中,介绍了通过抗疟药物治疗和红细胞置换相结合成功治疗一名脑型疟疾患者的情况。

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