Gendrel D, Nardou M, Richard-Lenoble D, Kombila M
Arch Fr Pediatr. 1985 Dec;42 Suppl 2:983-5.
In endemic regions, certain anti-parasitic therapies are automatically prescribed when confronted with apparently benign childhood disorders. The diagnostic differentiation between a simple febrile seizure provoked by Plasmodium falciparum is often impossible, requiring the initial use of intravenous quinine. Helminth or Giardia infestations often aggravate the chronic diarrhea of malnutrition, or are revealed with corticosteroid therapy, necessitating the initiation of an appropriate treatment. In addition, the frequent association of typhoid and schistosomiasis, requires therapy for both in order to prevent relapses.
在流行地区,当面对看似良性的儿童疾病时,某些抗寄生虫疗法会自动开出。通常无法区分由恶性疟原虫引发的单纯热性惊厥,这就需要首先使用静脉注射奎宁。蠕虫或贾第虫感染常常会加重营养不良引起的慢性腹泻,或者在使用皮质类固醇治疗时显现出来,因此需要开始适当的治疗。此外,伤寒和血吸虫病常常同时出现,需要对两者都进行治疗以防止复发。