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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.

DOI:10.4269/ajtmh.23-0147
PMID:37339765
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10397454/
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
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8b/10397454/f26839ad8dc1/ajtmh.23-0147f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8b/10397454/f26839ad8dc1/ajtmh.23-0147f1.jpg

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本文引用的文献

1
Hidden Biomass of Intact Malaria Parasites in the Human Spleen.人类脾脏中完整疟原虫的隐藏生物量。
N Engl J Med. 2021 May 27;384(21):2067-2069. doi: 10.1056/NEJMc2023884.
2
Evaluation of splenic accumulation and colocalization of immature reticulocytes and Plasmodium vivax in asymptomatic malaria: A prospective human splenectomy study.无症状疟疾中未成熟网织红细胞和间日疟原虫在脾脏中的蓄积和共定位评估：一项前瞻性人类脾切除术研究。
PLoS Med. 2021 May 26;18(5):e1003632. doi: 10.1371/journal.pmed.1003632. eCollection 2021 May.
3
The risk of Plasmodium vivax parasitaemia after P. falciparum malaria: An individual patient data meta-analysis from the WorldWide Antimalarial Resistance Network.
《恶性疟原虫疟疾后间日疟原虫寄生虫血症风险：来自世界疟疾抗药性网络的个体患者数据荟萃分析》。
PLoS Med. 2020 Nov 19;17(11):e1003393. doi: 10.1371/journal.pmed.1003393. eCollection 2020 Nov.
4
The Human Spleen in Malaria: Filter or Shelter?疟疾中的人类脾脏：过滤还是庇护？
Trends Parasitol. 2020 May;36(5):435-446. doi: 10.1016/j.pt.2020.03.001. Epub 2020 Mar 30.
5
Platelets kill circulating parasites of all major species in human malaria.血小板可消灭人体疟疾的所有主要寄生虫。
Blood. 2018 Sep 20;132(12):1332-1344. doi: 10.1182/blood-2018-05-849307. Epub 2018 Jul 19.
6
High Risk of Plasmodium vivax Malaria Following Splenectomy in Papua, Indonesia.印度尼西亚巴布亚地区脾切除术后感染疟原虫 vivax 的高风险。
Clin Infect Dis. 2019 Jan 1;68(1):51-60. doi: 10.1093/cid/ciy403.
7
Submicroscopic and Asymptomatic Plasmodium Parasitaemia Associated with Significant Risk of Anaemia in Papua, Indonesia.印度尼西亚巴布亚地区与贫血显著风险相关的亚微观无症状疟原虫血症
PLoS One. 2016 Oct 27;11(10):e0165340. doi: 10.1371/journal.pone.0165340. eCollection 2016.
8
Nitric Oxide-Dependent Endothelial Dysfunction and Reduced Arginine Bioavailability in Plasmodium vivax Malaria but No Greater Increase in Intravascular Hemolysis in Severe Disease.间日疟原虫疟疾中一氧化氮依赖性内皮功能障碍及精氨酸生物利用度降低，但重症疾病时血管内溶血无更大程度增加。
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Malar J. 2016 Jul 12;15(1):357. doi: 10.1186/s12936-016-1398-z.