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严重疟疾相关的急性心肌梗死。

Acute myocardial infarction associated with severe malaria.

机构信息

Department of Microbiology, Institute of Medical Science, BHU, Varanasi, UP, India.

Department of General Medicine, Institute of Medical Sciences, BHU, Varanasi, UP, India.

出版信息

J Vector Borne Dis. 2020 Apr-Jun;57(2):193-196. doi: 10.4103/0972-9062.310872.

Abstract

Malaria is still a major public health problem, even after many preventive strategies. Plasmodium vivax is also a major health concern now due to the addition of new unusual manifestations day by day in its clinical profile. Herewith, we report a case of a 15-yr-old male of severe P. vivax malaria (complicated with thrombocytopenia, hepatitis, acute lung injury, and shock), who developed chest pain. Later, he was confirmed to have acute myocardial infarction based on electrocardiography, cardiac enzymes, and echocardiography. PubMed and Google-based literature search found that it was the first confirmed case of this type. Fortunately, timely diagnosis and appropriate management saved his life.

摘要

疟疾仍然是一个主要的公共卫生问题,即使有了许多预防策略。由于其临床特征中每天都有新的不寻常表现,间日疟原虫现在也是一个主要的健康关注点。在此,我们报告了一例严重的间日疟原虫疟疾(合并血小板减少症、肝炎、急性肺损伤和休克)的 15 岁男性患者,他出现了胸痛。后来,根据心电图、心肌酶和超声心动图检查结果,他被确诊为急性心肌梗死。基于 PubMed 和谷歌的文献检索,发现这是首例确诊病例。幸运的是,及时的诊断和适当的治疗挽救了他的生命。

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