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黎巴嫩本地获得性疟疾的罕见病例:一个公共卫生问题。

A Rare Case of Locally Acquired Malaria in Lebanon: A Public Health Concern.

作者信息

Abou Hamdan Douaa, Hassan Dalia, Mourad Jamil, El Karaaoui AbdulKarim M

机构信息

Infectious Diseases Department, Lebanese University, Beirut, LBN.

Infection Control Department, Bekaa Hospital, Bekaa, LBN.

出版信息

Cureus. 2024 Dec 24;16(12):e76298. doi: 10.7759/cureus.76298. eCollection 2024 Dec.

Abstract

Malaria, a mosquito-borne disease caused by five plasmodium species, still has a life-threatening risk worldwide. Clinical manifestations can range from mild nonspecific symptoms to severe disease. In non-endemic regions, sporadic cases frequently pose significant challenges to health workers as delayed diagnosis can lead to serious consequences and even death. In this study, we report the first documented case of locally transmitted malaria in Lebanon involving a patient with no recent travel history presenting with fever, chills, and headache. The patient was found to have anemia and thrombocytopenia, and a positive malaria antigen test and peripheral smear revealed the presence of banana-shaped gametocytes and intracellular rings confirming the diagnosis of plasmodium falciparum. She was treated successfully with intravenous artesunate, and she fully recovered.

摘要

疟疾是一种由五种疟原虫引起的蚊媒疾病,在全球范围内仍然存在危及生命的风险。其临床表现从轻微的非特异性症状到严重疾病不等。在非流行地区,散发病例常常给医护人员带来重大挑战,因为诊断延迟可能导致严重后果甚至死亡。在本研究中,我们报告了黎巴嫩首例有记录的本地传播疟疾病例,该患者近期无旅行史,出现发热、寒战和头痛症状。患者被发现有贫血和血小板减少症,疟疾抗原检测呈阳性,外周血涂片显示存在香蕉形配子体和细胞内环,确诊为恶性疟原虫感染。她接受了静脉注射青蒿琥酯治疗并成功治愈,完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b477/11755201/bcff9bca1751/cureus-0016-00000076298-i01.jpg

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