Roberson Megan T, Smith Austin T
Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, Tennessee.
Clin Pract Cases Emerg Med. 2020 Nov;4(4):533-536. doi: 10.5811/cpcem.2020.8.47995.
Cerebral malaria, a syndrome of altered consciousness, is a rare and severe neurologic complication resulting from Plasmodium falciparum. Historically, cerebral malaria has been seen more frequently in children rather than adults. To complicate the diagnosis, cerebral malaria has few specific symptoms and neurologic findings can vary with each case.
We describe a case of a 61-year-old male who returned from the Democratic Republic of Congo and presented to the emergency department with dehydration, fatigue, and intermittent confusion. He was ultimately diagnosed with cerebral malaria caused by P. falciparum.
Even with close monitoring and appropriate treatment, cerebral malaria carries a severe risk of long-term neurocognitive deficits and a high mortality rate.
脑型疟疾是一种意识改变综合征，是由恶性疟原虫引起的罕见且严重的神经系统并发症。从历史上看，脑型疟疾在儿童中比在成人中更常见。使诊断复杂化的是，脑型疟疾几乎没有特定症状，而且神经系统表现因病例而异。
我们描述了一例61岁男性病例，该患者从刚果民主共和国返回后到急诊科就诊，伴有脱水、疲劳和间歇性意识模糊。他最终被诊断为恶性疟原虫引起的脑型疟疾。
即使进行密切监测和适当治疗，脑型疟疾仍有长期神经认知缺陷的严重风险和高死亡率。
