Hase Ryota
Department of Infectious Diseases Japanese Red Cross Narita Hospital Chiba Japan.
J Gen Fam Med. 2017 Dec 11;19(1):27-29. doi: 10.1002/jgf2.149. eCollection 2018 Jan.
A 37-year-old Japanese man experienced fever and headache 8 days after returning to Japan following a 6-month stay in Nigeria. He visited two clinics but was sent home from each with a diagnosis of common cold. He was eventually brought to the emergency department with an altered mental status. Severe malaria was confirmed; his initial parasitemia index was 5.4%. He recovered fully with antimalarial treatment. This case suggests that primary care physicians should obtain recent travel history and consider malaria for any febrile patient who has returned from a malaria-endemic area.
一名37岁的日本男子在尼日利亚停留6个月后返回日本，8天后出现发热和头痛症状。他去了两家诊所，但每次都被诊断为普通感冒后送回家。最终，他因精神状态改变被送往急诊科。确诊为重症疟疾；他最初的疟原虫血症指数为5.4%。经过抗疟治疗，他完全康复。该病例表明，基层医疗医生应了解患者近期的旅行史，对于任何从疟疾流行地区返回的发热患者都应考虑疟疾的可能性。
