Tünger Özlem, Çakmak Akide, Özbilgin Ahmet, Tunalı Varol, Çetin Çiğdem Banu
Celal Bayar Üniversitesi Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Manisa, Türkiye.
Celal Bayar Üniversitesi Tıp Fakültesi Tıp Fakültesi, Parazitoloji Anabilim Dalı, Manisa, Türkiye.
Turkiye Parazitol Derg. 2018 Jun;42(2):164-167. doi: 10.5152/tpd.2018.5733.
The most common types of malaria in the world are Plasmodium vivax and P. falciparum. In countries where both species are endemic, P. vivax and P. falciparum coinfection also occurs. Thus, the possibility of mixed malaria in Turkey should always be considered in cases with a traveling history to these countries. Here, we report a case of P. vivax/P. falciparum mixed infection that was diagnosed as P. falciparum malaria in Ethiopia. However, the administered treatment was inadequate, and infection recurred because of the miss in the diagnosis of P. vivax malaria, for which an effective drug for hypnozoites was not administered. This case report emphasizes the importance of diagnosis, correct and adequate treatment of infections, and a close follow-up of diseases.
世界上最常见的疟疾类型是间日疟原虫和恶性疟原虫。在这两种疟原虫都为地方流行的国家，也会发生间日疟原虫和恶性疟原虫的混合感染。因此，对于有前往这些国家旅行史的病例，土耳其存在混合疟疾感染的可能性应始终予以考虑。在此，我们报告一例在埃塞俄比亚被诊断为恶性疟原虫疟疾的间日疟原虫/恶性疟原虫混合感染病例。然而，所给予的治疗并不充分，由于漏诊间日疟原虫疟疾且未使用针对休眠子的有效药物，感染复发。本病例报告强调了感染的诊断、正确且充分治疗以及疾病密切随访的重要性。
