亚急性肠梗阻——成人恶性疟原虫疟疾的一种罕见并发症：一例报告
Sub-acute intestinal obstruction - a rare complication of Plasmodium falciparum malaria in an adult: a case report.
作者信息
Bonghaseh Tim Divine, Ekaney Domin Sone M, Budzi Michael, Ekwen Gerald, Kyota Steve
机构信息
Baptist Hospital Mutengene, Mutengene, Cameroon.
Clinical Research Education Networking and Consultancy (CRENC) Research Group, Douala, Cameroon.
出版信息
J Med Case Rep. 2018 Jul 3;12(1):190. doi: 10.1186/s13256-018-1730-z.
BACKGROUND
Malaria remains a major public health problem in most tropical countries. It occasionally presents with both typical and atypical signs and symptoms. Gastrointestinal manifestations are common in malaria endemic areas but intestinal obstruction as a complication is extremely rare.
CASE PRESENTATION
We present the case of a 42-year-old black African man who presented with signs and symptoms of intestinal obstruction and was diagnosed as having Plasmodium falciparum malaria. He was successfully treated with both parenteral and orally administered antimalarial medication and the intestinal obstruction subsequently resolved.
CONCLUSION
With intestinal obstruction being an important cause of morbidity and mortality, we report this case to highlight this rare complication of malaria and therefore increase physicians' awareness and prompt diagnosis and management.
背景
在大多数热带国家，疟疾仍然是一个主要的公共卫生问题。它偶尔会出现典型和非典型的体征和症状。胃肠道表现在疟疾流行地区很常见，但肠梗阻作为一种并发症极为罕见。
病例报告
我们报告一例42岁的非洲黑人男性病例，该患者出现肠梗阻的体征和症状，被诊断为恶性疟原虫疟疾。他通过胃肠外和口服抗疟药物成功治愈，随后肠梗阻症状缓解。
结论
由于肠梗阻是发病和死亡的重要原因，我们报告此病例以强调这种罕见的疟疾并发症，从而提高医生的认识以及促进对其的及时诊断和处理。
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