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病例报告:脾切除术后严重的间日疟原虫疟疾。

Case Report: Severe Plasmodium vivax Malaria after Splenectomy.

机构信息

Timika Malaria Research Facility, Papuan Health and Community Development Foundation, Timika, Papua, Indonesia.

Rumah Sakit Umum Daerah Kabupaten Mimika, Timika, Papua, Indonesia.

出版信息

Am J Trop Med Hyg. 2023 Jun 20;109(2):284-287. doi: 10.4269/ajtmh.23-0147. Print 2023 Aug 2.

Abstract

Severe malaria after splenectomy has been reported with infections with Plasmodium falciparum, Plasmodium knowlesi, and Plasmodium malariae, but is less well-characterized with Plasmodium vivax. We describe a case of severe P. vivax malaria with hypotension, prostration, and acute kidney injury occurring 2 months after splenectomy in Papua, Indonesia. The patient was treated successfully with intravenous artesunate.

摘要

脾切除术后严重疟疾曾有恶性疟原虫、诺氏疟原虫和间日疟原虫感染的报道,但关于脾切除术后引起严重卵形疟感染的病例报道较少。我们在印度尼西亚巴布亚报告了一例脾切除术后 2 个月发生低血压、乏力和急性肾损伤的严重卵形疟病例,该患者使用静脉注射青蒿琥酯成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8b/10397454/f26839ad8dc1/ajtmh.23-0147f1.jpg

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