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东努沙登加拉省弗洛雷斯岛低疟疾流行区一名成年患者的重症疟疾

Severe Malaria in an Adult Patient from Low-Endemic Area in Flores Island, East Nusa Tenggara.

作者信息

Teressa Maria, Purnama Asep, Henrina Joshua, Wiraatmadja Agustinus, Boro Angela M B, L Sam Candida I, Dedang Tersila A D, Cahyadi Alius

机构信息

Department of Internal Medicine, T.C. Hillers General Public Hospital, Sikka Regency, East Nusa Tenggara 86113, Indonesia.

Department of Neurology, T.C. Hillers General Public Hospital, Sikka Regency, East Nusa Tenggara 86113, Indonesia.

出版信息

Case Rep Med. 2023 Feb 21;2023:1239318. doi: 10.1155/2023/1239318. eCollection 2023.

Abstract

Malaria is an infection caused by protozoa of the genus , commonly found in tropical and subtropical regions worldwide. causes the most severe form of the disease and may progress to life-threatening manifestations. This case describes a 26-year-old man who suffered cerebral malaria with multiple organ dysfunction and successfully recovered despite poor initial prognosis. Negligent and late diagnosis of malaria leads to severe complications and a worse prognosis. This case emphasizes despite living in a low-endemic malaria area, physicians should remain meticulous and consider malaria as differential diagnosis even after initially presenting with nonspecific symptoms. Consequently, malarial screening should be performed to modify the risk of mortality. Furthermore, close monitoring and early administration of intravenous artesunate are also particularly critical.

摘要

疟疾是一种由疟原虫属原生动物引起的感染,在全球热带和亚热带地区普遍存在。疟原虫导致最严重的疾病形式,并可能发展为危及生命的症状。本病例描述了一名26岁男性,他患有脑型疟疾并伴有多器官功能障碍,尽管初始预后不佳,但最终成功康复。疟疾的疏忽和延迟诊断会导致严重并发症和更差的预后。本病例强调,尽管生活在疟疾低流行地区,医生仍应保持谨慎,即使最初表现为非特异性症状,也应将疟疾作为鉴别诊断。因此,应进行疟疾筛查以降低死亡风险。此外,密切监测和早期静脉注射青蒿琥酯也尤为关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c82/9974305/19d5d2595748/CRIM2023-1239318.001.jpg

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